Author/Editor | Eberlinc, Andreja | |
Title | Sodobna načela zdravljenja poškodb čelne votline | |
Type | članek | |
Source | In: Repše S, Tršinar B, editors. Zbornik predavanj 39. podiplomskega tečaja kirurgije; 2003 okt 17-18; Ljubljana. Ljubljana: Kirurška klinika, Klinični center, | |
Publication year | 2003 | |
Volume | str. 31-4 | |
Language | slo | |
Abstract | Frontal sinus fractures are uncommon injuries, representing only 5-12% of all facial fractures. They result from high-energy impact to the upper third of the face. Most commonly, patients are polytraumatised with fractures of the facial bones, intracranial injuries and/or cervical spine injuries. These injuries usually require a multidisciplinary approach ( anesthesiologist, traumatologist, neurosurgeon, maxillofacial surgeon, ENT surgeon, opthalmologist, ect. ). The stabilisation of vital functions and management of any other lifethreatening injuries take precedance over sinus fractures. Frontal sinus fractures do not require immediate surgical attention unlessthey are associated with neurosurgical or ophthalmological emergency. Management of the frontal sinus depends on the degree of frontal sinus wall displacement, the existence of a persistent CSF leak and nasofrontal duct involvement. Complications of delayed or improper management can be life-threatening conditions, such as meningitis, mucopyocele, pneumocephalus and brain abscess. | |
Descriptors | FRONTAL SINUS SKULL FRACTURES SURGERY, ORAL MENINGITIS |