Document Detail

State of the art in craniomaxillofacial trauma: frontal sinus.
MedLine Citation:
PMID:  18626259     Owner:  NLM     Status:  MEDLINE    
PURPOSE OF REVIEW: Many of the successes and controversies in endoscopic management of craniofacial trauma are exemplified in the management of frontal sinus trauma. RECENT FINDINGS: The effort to reduce surgical morbidity and to optimize reconstruction of craniomaxillofacial injuries has resulted in the development of less invasive surgical approaches and in the use of computer image guidance in surgical planning and execution. Minimally invasive management of frontal sinus inflammatory disease has gained wide acceptance. The technology and techniques applied to surgery of the floor of the frontal sinus is now being applied to the management of frontal sinus trauma. A paradigm shift in the treatment of frontal sinus trauma may be underway. SUMMARY: An increasing scope of less severe injuries is being managed expectantly with endoscopic frontal sinus surgery available for salvage. There may be an overall decrease in the most severe frontal sinus injuries owing to enforcement of seatbelt and airbag usage. And the most severe injuries are often best managed through cranialization with anterior skull base reconstruction. Thus, the role for frontal sinus obliteration purely to obviate fractures of the frontal sinus outflow tract may be vanishing.
Matthew L Rontal
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current opinion in otolaryngology & head and neck surgery     Volume:  16     ISSN:  1531-6998     ISO Abbreviation:  Curr Opin Otolaryngol Head Neck Surg     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-07-15     Completed Date:  2008-09-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9417024     Medline TA:  Curr Opin Otolaryngol Head Neck Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  381-6     Citation Subset:  IM    
St John's Providence Hospital, Southfield, Michigan, USA.
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MeSH Terms
Accidents, Traffic
Endoscopy / methods*
Facial Injuries / surgery
Fractures, Comminuted / surgery
Frontal Sinus / injuries*,  surgery
Mandibular Condyle / injuries,  surgery
Mucocele / prevention & control
Postoperative Complications / prevention & control
Reconstructive Surgical Procedures / methods*
Skull Base / surgery
Skull Fractures / etiology,  surgery*
Surgery, Computer-Assisted / methods
Surgical Procedures, Minimally Invasive / methods*

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

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