Abstract

Treatment of frontal sinus fractures depends on the structures involved: the anterior wall, the posterior wall and the nasofrontal duct. It may vary from the correction of the defect in the anterior wall to the cranialization with obliteration of the nasofrontal duct. The inversion of the frontal sinus's anterior wall to correct the defect in the fractured region is a good treatment option for sequelae, since this technique eliminates or reduces the use of biomaterial in the area, and allows direct assessment of the permeability of the nasofrontal duct. This work describes the technique of fractured segment inversion for the treatment of frontal sinus fracture sequelae in a motorcycle accident victim.

Highlights

  • The frontal sinus is a pneumatized cavity internally lined with epithelium of the ciliated respiratory tract, located between the internal and external tables of the frontal bone, maintaining close relation with other sinuses of the face, orbit ceiling, and anterior cranial fossa[1]

  • Many classifications have been proposed in the literature to help manage such lesions, but most authors rely on the anatomical location of the fracture, involvement of the anterior wall, of the posterior wall and of the nasofrontal duct, either alone or in association[2,8]

  • The treatment protocols for frontal sinus fractures are reported in the literature through classifications and organograms, where the majority of authors assess the degree of displacement and /

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Summary

Technical Note

Treatment of frontal bone fracture sequelae through inversion of the bone fragment. Inversão do segmento fraturado para tratamento das sequelas de fratura do seio frontal Jonathan Ribeiro da Silva[1,2]; Carlos Fernando de Almeida Barros Mourão[2]; Hernando Valentim da Rocha Júnior[3]; Luiz Fernando Magacho[1]; Guto Fidalgo Daumas Moraes[1]; Nicolas Homsi[3].

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TECHNICAL NOTE
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