TY - JOUR
T1 - Cranialization in a cohort of 154 consecutive patients with frontal sinus fractures (1987-2007) review and update of a compelling procedure in the selected patient
AU - Pollock, Richard A.
AU - Hill, Joseph L.
AU - Davenport, Daniel L.
AU - Snow, David C.
AU - Vasconez, Henry C.
PY - 2013/7
Y1 - 2013/7
N2 - Retrospective review of charts of 180 consecutive patients with frontal sinus fractures managed by plastic surgeons at the University of Kentucky between 1987 and 2007 was performed with institutional review board approval. Twenty-six charts did not meet the criteria. The remaining 154 records provided 1-to-20-year follow-up. The study included 34 patients who underwent cranialization and 120 patients who did not. A low-complication rate of 6% after cranialization is ascribed by the authors to meticulous sinus mucosal debridement; thorough obliteration of the frontal sinus outflow tract (with sterile gelatin sponge pledgets and bone chips from the outer cortex of the temporoparietal skull); and avoidance of avascular barriers, such as abdominal fat. As high-resolution computerized tomography with parasaggital views was introduced, an increasing ability to preoperatively define the extent of injury of the medial and lateral sinus floor was observed. The authors conclude selective use of cranialization is indicated.
AB - Retrospective review of charts of 180 consecutive patients with frontal sinus fractures managed by plastic surgeons at the University of Kentucky between 1987 and 2007 was performed with institutional review board approval. Twenty-six charts did not meet the criteria. The remaining 154 records provided 1-to-20-year follow-up. The study included 34 patients who underwent cranialization and 120 patients who did not. A low-complication rate of 6% after cranialization is ascribed by the authors to meticulous sinus mucosal debridement; thorough obliteration of the frontal sinus outflow tract (with sterile gelatin sponge pledgets and bone chips from the outer cortex of the temporoparietal skull); and avoidance of avascular barriers, such as abdominal fat. As high-resolution computerized tomography with parasaggital views was introduced, an increasing ability to preoperatively define the extent of injury of the medial and lateral sinus floor was observed. The authors conclude selective use of cranialization is indicated.
KW - cohort
KW - cranialization
KW - frontal sinus fracture
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U2 - 10.1097/SAP.0b013e3182468198
DO - 10.1097/SAP.0b013e3182468198
M3 - Article
C2 - 22918401
AN - SCOPUS:84880761899
SN - 0148-7043
VL - 71
SP - 54
EP - 59
JO - Annals of Plastic Surgery
JF - Annals of Plastic Surgery
IS - 1
ER -