nach oben

Journal of Maxillofacial and Oral Surgery

Erschienen in:

22.07.2022 | Original Article

Epidemiological Study of Frontal Sinus Fractures: Evaluation of 16 Years of Care at the Faculty of Dentistry of Ribeirão Preto/Brazil

verfasst von: Lucas Costa Nogueira, José Henrique Santana Quinto, Priscila Faleiros Bertelli Trivellato, Cássio Edvard Sverzut, Alexandre Elias Trivellato

Erschienen in: Journal of Maxillofacial and Oral Surgery | Ausgabe 2/2024

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Aiming to evaluate and study the epidemiological profile of frontal sinus fractures treated in the region of Ribeirão Preto—Brazil,

Methods

Sixteen years of activity in the Oral and Maxillofacial service of the Faculty of Dentistry of Ribeirão Preto/SP (FORP/USP), totaling 9,736 consultations, 4,524 with facial fractures, those diagnosed with frontal sinus fracture (113) were evaluated and selected for the study.

Results

Frontal sinus fractures accounted for 2.5% of facial fractures, the majority occurring in men (89.4%), concentrated in the age group 21–30 years old, with 52.2% of cases being caused by road traffic accidents (RTA). Associations with other facial fractures are common and appeared in 75.2% of cases. Treatment was followed either surgically, by open reduction internal fixation (52.2%) or conservatively (35.4%). Analyzing only the 28 isolated frontal sinus fractures, the most common treatment was conservative (46.4%). surgical treatment dropped to 25%. The most common postoperative complications were temporal branch paralysis and supraorbital nerve paresthesia, both occurring in 30.5% of surgical cases.

Conclusion

The frequency of frontal sinus fractures may be decreasing, but the pattern of occurrence in young men due to road traffic accidents does not seem to change, fortunately the appearance of serious complications is not common and it is usually associated with more severe trauma.

Arnold MA, Tatum SA 3rd (2019) Frontal sinus fractures: evolving clinical considerations and surgical approaches. Craniomaxillofac Trauma Reconstr 12:85–94. https://doi.org/10.1055/s-0039-1678660CrossRefPubMedPubMedCentral

Strong E (2009) Frontal sinus fractures: current concepts. Craniomaxillofac Trauma Reconstr 2:161–175. https://doi.org/10.1055/s-0029-1234020CrossRefPubMedPubMedCentral

Schultz RC (1970) Supraorbital and glabellar fractures. Plast Reconstr Surg 45:227–233. https://doi.org/10.1097/00006534-197003000-00004CrossRefPubMed

Onishi K, Nakajima T, Yoshimura Y (1989) Treatment and therapeutic devices in the management of frontal sinus fractures. our experience with 42 cases. J Cranio-Maxillofac Surg 17:58–63. https://doi.org/10.1016/S1010-5182(89)80046-0CrossRef

Bell RB, Dierks EJ, Brar P et al (2007) A protocol for the management of frontal sinus fractures emphasizing sinus preservation. J Oral Maxillofac Surg 65:825–839. https://doi.org/10.1016/j.joms.2006.05.058CrossRefPubMed

Gerbino G, Roccia F, Benech A, Caldarelli C (2000) Analysis of 158 frontal sinus fractures: current surgical management and complications. J Cranio-Maxillofac Surg 28:133–139. https://doi.org/10.1054/jcms.2000.0134CrossRef

Gurdjian ES, Shawan HK (1932) Management of skull fracture involving the frontal sinus. Ann Surg 95:27–32. https://doi.org/10.1097/00000658-193201000-00002CrossRefPubMedPubMedCentral

May M, Ogura JH, Schramm V (1970) Nasofrontal duct in frontal sinus fractures. Arch Otolaryngol 92:534–538. https://doi.org/10.1001/archotol.1970.04310060006003CrossRefPubMed

Sataloff RT, Sariego J, Myers DL, Richter HJ (1984) Surgical management of the frontal sinus. Neurosurgery 15:593–596. https://doi.org/10.1227/00006123-198410000-00023CrossRefPubMed

10.

Jing XL, Luce E (2019) Frontal sinus fractures: management and complications. Craniomaxillofac Trauma Reconstr 12:241–247. https://doi.org/10.1055/s-0038-1675560CrossRefPubMedPubMedCentral

11.

Ghosh R, Gopalkrishnan K (2018) Facial fractures. J Craniofac Surg 29:e334–e340. https://doi.org/10.1097/SCS.0000000000004269CrossRefPubMed

12.

Goedecke M, Thiem DGE, Schneider D et al (2019) Through theages - Aetiological changes in maxillofacial trauma. Dent Traumatol 35:115–20. https://doi.org/10.1111/edt.12462CrossRefPubMed

13.

Roccia F, Sotong J, Savoini M et al (2019) Maxillofacial injuries due to traffic accidents. J Craniofac Surg 30:e288–293. https://doi.org/10.1097/SCS.0000000000005158CrossRefPubMed

14.

Povolotskiy R, Youssef P, Kaye R et al (2019) Facial fractures in young adults: a national retrospective study. Ann Otol Rhinol Laryngol 128:516–523. https://doi.org/10.1177/0003489419830114CrossRefPubMed

15.

Strong EB, Pahlavan N, Saito D (2006) Frontal sinus fractures: A 28-year retrospective review. Otolaryngol Head Neck Surg 135:774–779. https://doi.org/10.1016/j.otohns.2006.03.043CrossRefPubMed

16.

Bonavolontà P, Dell’aversana Orabona G, Abbate V et al (2017) The epidemiological analysis of maxillofacial fractures in Italy: The experience of a single tertiary center with 1720 patients. J Cranio-Maxillofac Surg 45:1319–1326. https://doi.org/10.1016/j.jcms.2017.05.011CrossRef

17.

Kanala S, Gudipalli S, Perumalla P et al (2021) Aetiology, prevalence, fracture site and management of maxillofacial trauma. Ann R Coll Surg Engl 103:18–22. https://doi.org/10.1308/RCSANN.2020.0171CrossRefPubMed

18.

Gaddipati R, Ramisetti S, Vura N et al (2015) Analysis of 1,545 fractures of facial region—a retrospective study. Craniomaxillofac Trauma Reconstr 8:307–314. https://doi.org/10.1055/s-0035-1549015CrossRefPubMedPubMedCentral

19.

Johnson NR, Roberts MJ (2020) Frontal sinus fracture management: a systematic review and meta-analysis. Int J Oral Maxillofac Surg 50:75–82. https://doi.org/10.1016/j.ijom.2020.06.004CrossRefPubMed

20.

Arangio P, Vellone V, Torre U et al (2014) Maxillofacial fractures in the province of Latina, Lazio, Italy: review of 400 injuries and 83 cases. J Cranio-Maxillofacial Surg 42:583–587. https://doi.org/10.1016/j.jcms.2013.07.030CrossRef

21.

Hwang K, Kim JH (2015) Effect of restraining devices on facial fractures in motor vehicle collisions. J Craniofac Surg 26:e525–e527. https://doi.org/10.1097/SCS.0000000000002030CrossRefPubMed

22.

Todorovic M, Vukcevic B, Cabarkapa M et al (2018) The assessment of airbag deployment and seatbelt use in preventing facial injuries. Forensic Sci Med Pathol. https://doi.org/10.1007/s12024-018-0020-9CrossRefPubMed

23.

Cini MA, Prado BG, Hinnig PDF et al (2014) Influence of type of helmet on facial trauma in motorcycle accidents. Br J Oral Maxillofac Surg 52:789–792. https://doi.org/10.1016/j.bjoms.2014.05.006CrossRefPubMed

24.

Cavalcante JR, Oka SCR, De Santana ST et al (2012) Influence of helmet use in facial trauma and moderate traumatic brain injury victims of motorcycle accidents. J Craniofac Surg 23:982–985. https://doi.org/10.1097/SCS.0b013e31824e5b04CrossRefPubMed

25.

Rodriguez ED, Stanwix MG, Nam AJ et al (2008) Twenty-six-year experience treating frontal sinus fractures: a novel algorithm based on anatomical fracture pattern and failure of conventional techniques. Plast Reconstr Surg 122:1850–1866. https://doi.org/10.1097/PRS.0b013e31818d58baCrossRefPubMed

26.

Schultz JJ, Chen J, Sabharwal S et al (2019) Management of frontal bone fractures. J Craniofac Surg 30:2026–2029. https://doi.org/10.1097/SCS.0000000000005720CrossRefPubMed

27.

Sivori LA, De Leeuw R, Morgan I, Cunningham LL (2010) Complications of frontal sinus fractures with emphasis on chronic craniofacial pain and its treatment: a review of 43 cases. J Oral Maxillofac Surg 68:2041–2046. https://doi.org/10.1016/j.joms.2010.05.041CrossRefPubMed

28.

Gabrielli MF, Cabrini Gabrielli MA, Hochuli-Vieira E, Pereira-Fillho VA (2004) Immediate reconstruction of frontal sinus fractures: review of 26 cases. J Oral Maxillofac Surg 62:582–586. https://doi.org/10.1016/j.joms.2003.08.026CrossRefPubMed

29.

Montovani JC, Nogueira EA, Ferreira FD et al (2006) Surgery of frontal sinus fractures: epidemiologic study and evaluation of techniques. Braz J Otorhinolaryngol 72:204–209. https://doi.org/10.1016/s1808-8694(15)30056-2CrossRefPubMed

30.

Gossman DG, Archer SM, Arosarena O (2006) Management of frontal sinus fractures: a review of 96 cases. Laryngoscope 116:1357–1362. https://doi.org/10.1097/01.mlg.0000226009.00145.85CrossRefPubMed

31.

Dalla Torre D, Burtscher D, Kloss-Brandstätter A et al (2014) Management of frontal sinus fractures – treatment decision based on metric dislocation extent. J Cranio-Maxillofac Surg 42:1515–1519. https://doi.org/10.1016/j.jcms.2014.04.023CrossRef

32.

Manolidis S, Hollier LH Jr (2007) Management of frontal sinus fractures. Plast Reconstr Surg 120:32S-48S. https://doi.org/10.1097/01.prs.0000260732.58496.1bCrossRefPubMed

33.

Ramos JC, Almeida MLD, Alencar YCG et al (2018) Epidemiological study of bucomaxilofacial trauma in a Paraíba reference hospital. Rev Col Bras Cir 45:e1978. https://doi.org/10.1590/0100-6991e-20181978CrossRefPubMed

34.

Molendijk J, Van Der Wal KGH, Koudstaal MJ (2012) Surgical treatment of frontal sinus fractures: the simple percutaneous reduction revised. Int J Oral Maxillofac Surg 41:1192–1194. https://doi.org/10.1016/j.ijom.2012.06.023CrossRefPubMed

35.

Doonquah L, Brown P, Mullings W (2012) Management of frontal sinus fractures. Oral Maxillofac Surg Clin North Am 24:265–274. https://doi.org/10.1016/j.coms.2012.01.008CrossRefPubMed

36.

Noury M, Dunn RM, Lalikos JF et al (2011) Frontal sinus repair through a frontalis rhytid approach. Ann Plast Surg 66:457–459. https://doi.org/10.1097/SAP.0b013e3182185f14CrossRefPubMed

37.

Kyrgidis A, Koloutsos G, Kommata A et al (2013) Incidence, aetiology, treatment outcome and complications of maxillofacial fractures. A retrospective study from Northern Greece. J Cranio-Maxillofac Surg 41:637–643. https://doi.org/10.1016/j.jcms.2012.11.046CrossRef

Titel: Epidemiological Study of Frontal Sinus Fractures: Evaluation of 16 Years of Care at the Faculty of Dentistry of Ribeirão Preto/Brazil
verfasst von: Lucas Costa Nogueira
José Henrique Santana Quinto
Priscila Faleiros Bertelli Trivellato
Cássio Edvard Sverzut
Alexandre Elias Trivellato
Publikationsdatum: 22.07.2022
Verlag: Springer India
Erschienen in: Journal of Maxillofacial and Oral Surgery / Ausgabe 2/2024
Print ISSN: 0972-8279
Elektronische ISSN: 0974-942X
DOI: https://doi.org/10.1007/s12663-022-01765-8

Bilobed Pectoralis Major Myocutaneous Flap Reconstruction: a Single Institution Experience of 150 Patients and Methods to Prevent Complications

Original Article

Cone Beam-CT-Based Bone Volume Assessments of Alveolar Synthetic Bone Graft GlassBONE™ in Cleft Lip and Palate Patients: A Retrospective Study

ORIGINAL ARTICLE

Modified Eyelet Wiring: A Technical Note

TECHNICAL NOTE

Osteomyelitis of Jaw Bone due to Aspergillosis in Post-COVID-19 Patients: An Observational Study

ORIGINAL ARTICLE

Temporal Abscess After Bicycle Accident: A Rare Cause: Case report

CASE REPORT

Clinical Spectrum and Treatment of Odontogenic Myxoma: Analysis of 37 Cases

Original Article

Neu im Fachgebiet Chirurgie

Erhöhtes Hüftfrakturrisiko unter Gabapentinoiden?

09.12.2024
Verletzungen von Hüftgelenk und Oberschenkel
Nachrichten

Daten einer australischen Fall-Kontroll-Studie sprechen dafür, dass die Einnahme von Gabapentinoiden mit einem erhöhten Hüftfrakturrisiko einhergeht, gerade bei Gebrechlichen und Nierenkranken.

Bei TAVI-Patienten auf multivalvuläre Herzerkrankung achten!

09.12.2024
TAVI
Nachrichten

Welchen Einfluss hat eine Mitral- und/oder Trikuspidalinsuffizienz auf die Mortalität nach Aortenklappenersatz (TAVI)? In einer US-Studie war die Prognose vor allem bei multivalvulärer Erkrankung deutlich schlechter.

Herz-Kreislauf-Risiko unter Hormontherapie: Auf das Präparat kommt es an!

06.12.2024
Hormonersatztherapie
Nachrichten

Das Risiko peri- und postmenopausaler Frauen, unter einer Hormontherapie (HT) ein kardiovaskuläres Ereignis zu erleiden, hängt offenbar stark davon ab, welche Präparate verwendet werden. Das ist das Ergebnis einer großen Registerstudie aus Schweden.

Verstärkte Naht beugt Narbenhernien vor

04.12.2024
Nahtmaterial und -techniken
Nachrichten

Eine elaborierte Nahttechnik kann dabei helfen, Patientinnen und Patienten nach kolorektaler Chirurgie vor Narbenhernien zu bewahren. Das hat eine Studie aus Schweden belegt.

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Live-Webinar: "Diabetes in der Praxis: was man zu Subtypen und Therapie jetzt wissen muss"

Springer Medizin

Epidemiological Study of Frontal Sinus Fractures: Evaluation of 16 Years of Care at the Faculty of Dentistry of Ribeirão Preto/Brazil