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Abstract：
OBJECTIVE: To assess the prevalence of various frontal sinus fractures (FSF) and examine the relationships between these fractures, types of treatments, and potential complications.
METHODS: A retrospective study was carried out in King Saud Medical City, Riyadh, Saudi Arabia. The study analyzed the records of patients who were diagnosed and treated with FSF from 2011-2021. Files with missing documents or incomplete treatment were excluded. The retrieved data includes: patients age, gender, types, locations, treatment, and complications of FSF. Data was analyzed by the statistical Package for the Social Sciences Statistics, version 23.0 using descriptive statistics and Chi-square test.
RESULTS: A total of 72 cases were included, 94.4% males and 5.6% females. Road traffic accidents were the common cause of trauma (91%). Frontal sinus fractures were unilateral in 59.7% and associated other injuries in 80.6% of cases. Anterior table fractures were the largest proportion (58.3%), followed by anterior and posterior table (37.5%). The carried out surgical procedures were obliteration (23.9%), cranialization and obliteration (23.9%), and fixation only (52.2%). The post-operative complications were categorized into; neurological (22.2%), ophthalmic (15.3%), infection (2.8%), and deformity (16.7%). Anterior and posterior table had the highest percentage among these categories.
CONCLUSIONS: Frontal sinus fractures were mostly required surgical treatment (63.9%) and post-operative complications occurred especially the neurological and ophthalmic. We recommend studies on the association of complications and different types of obliteration materials.
METHODS: A retrospective study was carried out in King Saud Medical City, Riyadh, Saudi Arabia. The study analyzed the records of patients who were diagnosed and treated with FSF from 2011-2021. Files with missing documents or incomplete treatment were excluded. The retrieved data includes: patients age, gender, types, locations, treatment, and complications of FSF. Data was analyzed by the statistical Package for the Social Sciences Statistics, version 23.0 using descriptive statistics and Chi-square test.
RESULTS: A total of 72 cases were included, 94.4% males and 5.6% females. Road traffic accidents were the common cause of trauma (91%). Frontal sinus fractures were unilateral in 59.7% and associated other injuries in 80.6% of cases. Anterior table fractures were the largest proportion (58.3%), followed by anterior and posterior table (37.5%). The carried out surgical procedures were obliteration (23.9%), cranialization and obliteration (23.9%), and fixation only (52.2%). The post-operative complications were categorized into; neurological (22.2%), ophthalmic (15.3%), infection (2.8%), and deformity (16.7%). Anterior and posterior table had the highest percentage among these categories.
CONCLUSIONS: Frontal sinus fractures were mostly required surgical treatment (63.9%) and post-operative complications occurred especially the neurological and ophthalmic. We recommend studies on the association of complications and different types of obliteration materials.
摘要：
目的：评估各种额窦骨折（FSF）的患病率，并检查这些骨折之间的关系，治疗类型,和潜在的并发症。
方法：在沙特国王医疗城进行了一项回顾性研究，利雅得,沙特阿拉伯。该研究分析了2011-2021年诊断和接受FSF治疗的患者的记录。排除缺少文档或处理不完整的文件。检索到的数据包括：患者年龄，性别,类型,地点,治疗,和FSF的并发症。数据由社会科学统计软件包进行分析，23.0版使用描述性统计和卡方检验。
结果：共72例，男性占94.4%，女性占5.6%。道路交通事故是创伤的常见原因（91％）。59.7％的额窦骨折为单侧骨折，80.6％的病例伴有其他损伤。前台骨折所占比例最大(58.3%),其次是前后表（37.5%）。进行的外科手术为闭塞（23.9%），头颅和闭塞(23.9%)，仅固定（52.2%）。术后并发症分为：神经系统（22.2%），眼科（15.3%），感染(2.8%)，畸形（16.7%）。在这些类别中，前表和后表的百分比最高。
结论：额窦骨折大多需要手术治疗（63.9%），术后并发症尤其发生在神经系统和眼科。我们建议对并发症和不同类型的闭塞材料的关联进行研究。
方法：在沙特国王医疗城进行了一项回顾性研究，利雅得,沙特阿拉伯。该研究分析了2011-2021年诊断和接受FSF治疗的患者的记录。排除缺少文档或处理不完整的文件。检索到的数据包括：患者年龄，性别,类型,地点,治疗,和FSF的并发症。数据由社会科学统计软件包进行分析，23.0版使用描述性统计和卡方检验。
结果：共72例，男性占94.4%，女性占5.6%。道路交通事故是创伤的常见原因（91％）。59.7％的额窦骨折为单侧骨折，80.6％的病例伴有其他损伤。前台骨折所占比例最大(58.3%),其次是前后表（37.5%）。进行的外科手术为闭塞（23.9%），头颅和闭塞(23.9%)，仅固定（52.2%）。术后并发症分为：神经系统（22.2%），眼科（15.3%），感染(2.8%)，畸形（16.7%）。在这些类别中，前表和后表的百分比最高。
结论：额窦骨折大多需要手术治疗（63.9%），术后并发症尤其发生在神经系统和眼科。我们建议对并发症和不同类型的闭塞材料的关联进行研究。
