Abstract:
Although frontal sinus fractures are relatively uncommon, the potential for long-term morbidity is significant. Management strategies remain controversial due to a lack of strong clinical evidence. Despite a paucity of strong literature, a logical treatment algorithm is presented based on the structural integrity of three anatomic parameters: anterior table, frontal sinus outflow tract, and the posterior table/dura. The literature supports a paradigm shift from open surgical management to a more conservative treatment algorithm emphasizing observation and minimally invasive endoscopic techniques. Long-term follow-up for complex frontal sinus injuries is critical.
摘要:
虽然额窦骨折相对少见,长期发病的可能性很大.由于缺乏强有力的临床证据,管理策略仍然存在争议。尽管缺乏强大的文学作品,基于三个解剖参数的结构完整性,提出了一种逻辑治疗算法:前表,额窦流出道,和后表/硬脑膜。文献支持从开放式手术管理到更保守的治疗算法的范式转变,强调观察和微创内窥镜技术。复杂额窦损伤的长期随访至关重要。