Subbrow Approach as a Minimally Invasive Reduction Technique in the Management of Frontal Sinus Fractures.
10.5999/aps.2014.41.6.679
- Author:
Yewon LEE
1
;
Hyun Gon CHOI
;
Dong Hyeok SHIN
;
Ki Il UHM
;
Soon Heum KIM
;
Cheol Keun KIM
;
Dong In JO
Author Information
1. Department of Plastic and Reconstructive Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea. 20040059@kuh.ac.kr
- Publication Type:Original Article
- Keywords:
Surgical procedures, minimally invasive;
Fracture fixation, internal;
Frontal sinus
- MeSH:
Brain Injuries;
Cicatrix;
Congenital Abnormalities;
Follow-Up Studies;
Fracture Fixation, Internal;
Frontal Bone;
Frontal Sinus*;
Hematoma;
Hemorrhage;
Humans;
Mucocele;
Orbit;
Paresthesia;
Patient Satisfaction;
Surgical Procedures, Minimally Invasive
- From:Archives of Plastic Surgery
2014;41(6):679-685
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Frontal sinus fractures, particularly anterior sinus fractures, are relatively common facial fractures. Many agree on the general principles of frontal fracture management; however, the optimal methods of reduction are still controversial. In this article, we suggest a simple reduction method using a subbrow incision as a treatment for isolated anterior sinus fractures. METHODS: Between March 2011 and March 2014, 13 patients with isolated frontal sinus fractures were treated by open reduction and internal fixation through a subbrow incision. The subbrow incision line was designed to be precisely at the lower margin of the brow in order to obtain an inconspicuous scar. A periosteal incision was made at 3 mm above the superior orbital rim. The fracture site of the frontal bone was reduced, and bone fixation was performed using an absorbable plate and screws. RESULTS: Contour deformities were completely restored in all patients, and all patients were satisfied with the results. Scars were barely visible in the long-term follow-up. No complications related to the procedure, such as infection, uncontrolled sinus bleeding, hematoma, paresthesia, mucocele, or posterior wall and brain injury were observed. CONCLUSIONS: The subbrow approach allowed for an accurate reduction and internal fixation of the fractures in the anterior table of the frontal sinus by providing a direct visualization of the fracture. Considering the surgical success of the reduction and the rigid fixation, patient satisfaction, and aesthetic problems, this transcutaneous approach through a subbrow incision is concluded to be superior to the other reduction techniques used in the case of an anterior table frontal sinus fracture.
