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Appropriate Pathways and Surgical Approaches in the Fractures of the Frontal Sinus

Received: 5 February 2019     Accepted: 17 May 2019     Published: 20 June 2019
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Abstract

Fractures of the frontal sinus are part of the fractures of the border between the facial and the cranial regions. They cause both aesthetic and vital problems, but also functional, requiring rapid and global care in a multidisciplinary setting. The document provides a descriptive and cross sectional study with prospective data collection, conducted in the department of Maxillofacial and Aesthetic Surgery of the Mohammed 6 Teaching Hospital of Marrakech, describe describe 18case operated for frontal sinus fractures over a 2-year period. The ideal time of repair was beyond the 72nd hour, at best between the 8th and 15th days after the reduction of cerebral and facial edema and the exclusion of any lesions that require emergency intervention. Our indications were mainly influenced by aesthetic deformities, impaction and embarrure fracture of ethmoidal and orbital roofs with clinical expression, obliteration of the naso-frontal duct, posterior wall displacement predicting dura mater laceration, and by the time to management. The coronal approach was the most indicated with 83, 33% of the cases. We realized sinus exclusion in 72.22%, cranialization in 22.77%, and repair of dura mater injuries in 27.77%. The sequelae found in 27.77%, were essentially functional and aesthetic.

Published in International Journal of Clinical Oral and Maxillofacial Surgery (Volume 5, Issue 1)
DOI 10.11648/j.ijcoms.20190501.16
Page(s) 22-28
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Craniofacial Trauma, Frontal Sinus Surgery, Cranialization, Exclusion of Sinus

References
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[19] Dulou R. Dagai A., Delmas M, Dutertre G., Perot P. Traumatismes ouverts ou fermés des sinus frontaux. EMC (Elsevier Masson SAS, Paris), Médecine buccale, 28-505-R-10, 2009, Stomatologie, 22-073-B-10, 2009.
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  • APA Style

    Mabika Bredel Djeri Djor, Ngoua Lysette, Aziz Zakaria, Garango Allaye, El Bouihi Mohamed, et al. (2019). Appropriate Pathways and Surgical Approaches in the Fractures of the Frontal Sinus. International Journal of Clinical Oral and Maxillofacial Surgery, 5(1), 22-28. https://doi.org/10.11648/j.ijcoms.20190501.16

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    ACS Style

    Mabika Bredel Djeri Djor; Ngoua Lysette; Aziz Zakaria; Garango Allaye; El Bouihi Mohamed, et al. Appropriate Pathways and Surgical Approaches in the Fractures of the Frontal Sinus. Int. J. Clin. Oral Maxillofac. Surg. 2019, 5(1), 22-28. doi: 10.11648/j.ijcoms.20190501.16

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    AMA Style

    Mabika Bredel Djeri Djor, Ngoua Lysette, Aziz Zakaria, Garango Allaye, El Bouihi Mohamed, et al. Appropriate Pathways and Surgical Approaches in the Fractures of the Frontal Sinus. Int J Clin Oral Maxillofac Surg. 2019;5(1):22-28. doi: 10.11648/j.ijcoms.20190501.16

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  • @article{10.11648/j.ijcoms.20190501.16,
      author = {Mabika Bredel Djeri Djor and Ngoua Lysette and Aziz Zakaria and Garango Allaye and El Bouihi Mohamed and Mansouri Nadia Hattab},
      title = {Appropriate Pathways and Surgical Approaches in the Fractures of the Frontal Sinus},
      journal = {International Journal of Clinical Oral and Maxillofacial Surgery},
      volume = {5},
      number = {1},
      pages = {22-28},
      doi = {10.11648/j.ijcoms.20190501.16},
      url = {https://doi.org/10.11648/j.ijcoms.20190501.16},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcoms.20190501.16},
      abstract = {Fractures of the frontal sinus are part of the fractures of the border between the facial and the cranial regions. They cause both aesthetic and vital problems, but also functional, requiring rapid and global care in a multidisciplinary setting. The document provides a descriptive and cross sectional study with prospective data collection, conducted in the department of Maxillofacial and Aesthetic Surgery of the Mohammed 6 Teaching Hospital of Marrakech, describe describe 18case operated for frontal sinus fractures over a 2-year period. The ideal time of repair was beyond the 72nd hour, at best between the 8th and 15th days after the reduction of cerebral and facial edema and the exclusion of any lesions that require emergency intervention. Our indications were mainly influenced by aesthetic deformities, impaction and embarrure fracture of ethmoidal and orbital roofs with clinical expression, obliteration of the naso-frontal duct, posterior wall displacement predicting dura mater laceration, and by the time to management. The coronal approach was the most indicated with 83, 33% of the cases. We realized sinus exclusion in 72.22%, cranialization in 22.77%, and repair of dura mater injuries in 27.77%. The sequelae found in 27.77%, were essentially functional and aesthetic.},
     year = {2019}
    }
    

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    T1  - Appropriate Pathways and Surgical Approaches in the Fractures of the Frontal Sinus
    AU  - Mabika Bredel Djeri Djor
    AU  - Ngoua Lysette
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    JO  - International Journal of Clinical Oral and Maxillofacial Surgery
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    AB  - Fractures of the frontal sinus are part of the fractures of the border between the facial and the cranial regions. They cause both aesthetic and vital problems, but also functional, requiring rapid and global care in a multidisciplinary setting. The document provides a descriptive and cross sectional study with prospective data collection, conducted in the department of Maxillofacial and Aesthetic Surgery of the Mohammed 6 Teaching Hospital of Marrakech, describe describe 18case operated for frontal sinus fractures over a 2-year period. The ideal time of repair was beyond the 72nd hour, at best between the 8th and 15th days after the reduction of cerebral and facial edema and the exclusion of any lesions that require emergency intervention. Our indications were mainly influenced by aesthetic deformities, impaction and embarrure fracture of ethmoidal and orbital roofs with clinical expression, obliteration of the naso-frontal duct, posterior wall displacement predicting dura mater laceration, and by the time to management. The coronal approach was the most indicated with 83, 33% of the cases. We realized sinus exclusion in 72.22%, cranialization in 22.77%, and repair of dura mater injuries in 27.77%. The sequelae found in 27.77%, were essentially functional and aesthetic.
    VL  - 5
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Author Information
  • Oral and Maxillo-facial Surgery Department, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakech, Morocco

  • Oral and Maxillo-facial Surgery Department, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakech, Morocco

  • Oral and Maxillo-facial Surgery Department, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakech, Morocco

  • Oral and Maxillo-facial Surgery Department, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakech, Morocco

  • Oral and Maxillo-facial Surgery Department, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakech, Morocco

  • Oral and Maxillo-facial Surgery Department, Faculty of Medicine and Pharmacy, Cadi Ayyad University, Marrakech, Morocco

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