Document Detail


Development of the frontal sinus following bilateral fronto-orbital osteotomies.
MedLine Citation:
PMID:  9702629     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The presence of frontal sinuses following bilateral fronto-orbital advancement is discussed controversially in the literature. In a retrospective study, 33 patients (18 male and 15 female) were operated on between 1982 and 1993, with at least one year postoperative follow-up and with a minimum age of 6 years at the end of the follow-up period following bilateral fronto-orbital remodelling, were included. The average age at which the procedure was performed was 29 months with a minimum of 3 months and a maximum of 7.8 years. The study presented shows a pneumatization of the frontal sinus in 72.7% of 33 patients following bilateral fronto-orbital advancement. The first radiographic signs of sinus development were detected between the ages of 4 and 11, average 8.3 years. There were no statistically proven correlations between frontal sinus pneumatization and age at operation or the amount of advancement or sex of the patients. Surgical enlargement of the cranium by frontal advancement with adequate stabilization results in an enlargement of the neurocranium, thereby decreasing pressure on the inner frontal cortex and allowing frontal sinus pneumatization to proceed normally. Hence, the development of a frontal sinus may be a reflection of the effectiveness of the surgical therapy.
Authors:
M C Locher; H F Sailer; P E Haers; F R Carls; C K Oechslin; K W Grätz
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery     Volume:  26     ISSN:  1010-5182     ISO Abbreviation:  J Craniomaxillofac Surg     Publication Date:  1998 Jun 
Date Detail:
Created Date:  1998-10-20     Completed Date:  1998-10-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8704309     Medline TA:  J Craniomaxillofac Surg     Country:  SCOTLAND    
Other Details:
Languages:  eng     Pagination:  129-35     Citation Subset:  D; IM    
Affiliation:
Department of Cranio-Maxillofacial Surgery, University Hospital Zürich, Switzerland.
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Bone Remodeling
Cephalometry
Child
Child, Preschool
Craniofacial Dysostosis / surgery
Craniosynostoses / surgery
Female
Follow-Up Studies
Frontal Bone / surgery*
Frontal Sinus / growth & development*,  radiography
Humans
Infant
Male
Orbit / surgery*
Osteotomy* / methods
Retrospective Studies
Sex Factors
Skull / abnormalities,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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