Clinical Evaluation and Management Outcomes of Isolated Anterior Wall Frontal Sinus Fractures Fixation with Low Profile Miniplates | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Article 5, Volume 44, Issue 4, October 2020, Pages 495-503 PDF (29.99 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2020.140017 | ||
| Authors | ||
| Ahmed A A Ali* 1; Mohammed H Osman2 | ||
| 1The Department Plastic Surgery, Faculty of Medicine, South Valley University | ||
| 2The Maxillofacial Surgery Unit, Faculty of Medicine, Assiut University** | ||
| Abstract | ||
| Background: Frontal sinus fractures are relatively common with high-velocity injury trauma. Isolated anterior wall fractures represent one third of all cases. The main goals of fixation are to restore the premorbid aesthetic condition and to preserve a safe and functional sinus. The ideal plating system used for fixation of the anterior frontal wall fractures is the micro plating system owing to its many advantages. However, it is also feasible to utilize the low-profile miniplating system as it has the same advantages. Patients and Methods: A prospective study conducted on patients admitted to trauma unit in two departments (Maxillofacial department; Assiut University Hospital and Plastic Surgery Department; Qena University Hospital) from August 2017 to July 2019 (two years’ duration). The study included all patients with anterior wall fracture of frontal sinus that needed open reduction and internal fixation (ORIF) with sinus preservation. Materials used: Low profile miniplate system; KLS Martin compact system; 1.5mm craniofacial plates with thickness 0.7mm, miniscrew 1.5mm with 5mm in length and drill bit 1.1mm diameter. Statistical analysis: Data was analyzed using the Statistical Package for Social Sciences (SPSS) version 22. p-value <0.05 was considered significant. Results: Follow-up period ranged from 6-12 months. Clinical data revealed that none of the patients complained from these miniplates concerning its palpability under the skin, sensitivity to temperature changes. No plate exposure or extrusion recorded. Only two patients had wound infections that resolved by antibiotic therapy. Patients complained only from minor symptoms such as pain, supraorbital paresthesia and facial edema. CT imaging showed good fracture healing, good alignment of the anterior wall and no plate failure (fracture). Patients were satisfied with restoration of the forehead contour and excellent aesthetic results. Conclusion: Isolated anterior wall frontal sinus fractures are common due to high incidence rate of motor car accidents in our country. Main lines of treatment aimed to restore a safe functional sinus, prevent forehead contour deformity and obtain good aesthetic results. These goals can be obtained by fracture fixation with this low profile miniplate system with resultant patient satisfaction. | ||
| Keywords | ||
| Frontal sinus; Isolated anterior wall fracture; Miniplate fixation | ||
| References | ||
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