期刊
JOURNAL OF CRANIOFACIAL SURGERY
卷 32, 期 4, 页码 1472-1475出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/SCS.0000000000007394
关键词
Craniomaxillofacial injuries; fracture fixation; frontal bone; reconstruction
类别
Frontal bone fractures are relatively rare, often caused by high-velocity injuries. Treatment decisions should be based on the severity of the injuries to prevent complications and achieve better functional outcomes.
Introduction: Frontal bone fractures show a low frequency of occurrence of about 5% to 15% of all maxillofacial fractures occurring due to high-velocity injuries such as in the case of road traffic accidents, sporting events, assaults. Successful surgical management revolves around the concept of minimizing cosmetic deformity, maintaining normal sinus function, avoidance of short and long-term complications. In this article, the authors report a case series of 24 cases of frontal bone fracture treated with various treatment modalities. Materials and Methods: A total of 24 cases of frontal bone fracture admitted to our facility were treated accordingly and the subsequent follow up data were collected and compiled to be included in this study. Results: In our study, 83.33% cases showed isolated anterior table fractures, 8.3% cases with combined anterior and posterior table fractures. 40% cases managed conservatively, 41.6% with titanium mini plates, 12.5% cases with titanium mesh and 4% with cranialisation with fat obliteration. Conclusion: Our treatment decisions were based upon the extent and severity of the injuries which aided in tailoring the treatment modality. Thereby, curbing the long-term complications which could be foreseen and hence, a better functional outcome was achieved.
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