Author/Editor		Eberlinc, Andreja
Title		Oskrba poškodb čelne votline v okviru kompleksnih poškodb obraznega skeleta
Translated title		Tretment of frontal sinus injuries as part of complex facial skeletal injuries
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 39, št. Suppl 3
Publication year		2000
Volume		str. 117-20
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, ophthalmologist, etc.). The stabilisation of vital functions and management of any other life-threatening injuries take precedence over sinus fractures. Frontal sinus fractures do not require immediate surgical attention unless they are associated with a 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.
Summary		Zlomi čelne votline so redke poškodbe in predstavljajo od 5 do 12 % vseh poškodb obraznega skeleta. Nastanejo pri delovanju velikih sil v področje zgornje tretjine obraznega skeleta. Običajno gre za politravmatizirane bolnike s poškodbo glave, kjer je poleg obraznega skeleta v večji ali manjši meri poškodovano tudi osrednje živčevje in/ali vratna hrbtenica, kar zahteva sodelovanje različnih specialistov (anesteziolog, travmatolog, nevrokirurg, maksilofacialni kirurg, otorinolaringolog, oftalmolog). Pri teh poškodovancih je najprej potrebna stabilizacija vitalnih funkcij in oskrba življenjsko ogrožajočih poškodb. Zlomi čelne votline ne zahtevajo takojšnje oskrbe, razen v primerih nujnih nevrokirurških ali oftalmoloških stanj. Vrsta zdravljenja je odvisna od stopnje premika odlomkov, prisotnosti iztekanja likvorja in poškodbe nosno-čelnega voda. Zapleti, ki nastanejo zaradi prepoznega ali neustreznega zdravljenja, so meningitis, mukopiokela, pnevmocefalus ali možganski ognojek, vse lahko ogrozijo bolnikovo življenje.
Descriptors		FRONTAL SINUS SKULL FRACTURES MULTIPLE TRAUMA PATIENT CARE TEAM POSTOPERATIVE COMPLICATIONS ESTHETICS TOMOGRAPHY, X-RAY COMPUTED