A simplified approach for the reduction of specific closed anterior table frontal sinus fractures.
We describe a simplified approach to the management of closed anterior table fractures of the frontal sinus. Forty-seven patients were diagnosed with this type of fracture during a 3-year period. Of these, 6 had minimally-invasive periosteal raising of the anterior table through a small perieyebrow skin incision, and access to the fracture was through a small trephine or the edge of the fracture itself. We compared this with the more traditional approach of a coronal flap, which was associated with an increased duration of stay in hospital and the potential for neurological complications. Surgical intervention with a minimally-invasive trephine approach provides good cosmesis, minimal blood loss, intact neurological function, and rapid recovery. This makes it an important technique to consider in carefully selected patients.
Royal Brisbane and Women's Hospital, Butterfield Street, Herston, QLD 4029, Australia. Electronic address: braden_meiklejohn@hotmail.com.
Braden D
BD
Meiklejohn
Royal Brisbane and Women's Hospital, Butterfield Street, Herston, QLD 4029, Australia.
Anthony
A
Lynham
PO BOX 2159, Ascot, QLD 4007, Australia.
Scott C
SC
Borgna
D004724:Endoscopy / Q000379:methods; D005152:Facial Muscles / Q000601:surgery; D005624:Frontal Bone / Q000601:surgery; D005626:Frontal Sinus / Q000293:injuries* / Q000601:surgery; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D010521:Periosteum / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods; D012887:Skull Fractures / Q000601:surgery*; D013524:Surgical Flaps / Q000601:surgery
Closed anterior table frontal sinus fracture; Peri-eyebrow incision; Transcutaneous tranfrontal approach