A Simplified Treatment Algorithm of Frontal Sinus Fractures: A Paradigm Shift?

단순화된 전두동 골절 치료 알고리즘: 패러다임의 전환인가?

  • Shinn, Myoung Soo (Department of Plastic and Reconstructive Surgery, College of Medicine, Jeju National University) ;
  • Song, Jung-Kook (Department of Preventive Medicine, College of Medicine, Jeju National University) ;
  • Yun, Byung Min (Department of Plastic and Reconstructive Surgery, College of Medicine, Jeju National University)
  • 신명수 (제주대학교 의과대학 의학전문대학원 성형외과학교실) ;
  • 송정국 (제주대학교 의과대학 의학전문대학원 예방의학교실) ;
  • 윤병민 (제주대학교 의과대학 의학전문대학원 성형외과학교실)
  • Received : 2011.02.15
  • Accepted : 2011.03.15
  • Published : 2011.04.10

Abstract

Purpose: The management of frontal sinus fractures and frontal sinus outflow tract (=FSOT) injuries is controversial. Traditional treatments include frontal sinus obliteration with a variety of material grafts, which all employ complicated algorithms for treatment planning. A simplified algorithm aiming for frontal sinus ventilation, however, can be achieved through the advanced technology of image guided endoscopic surgery and instruments. The authors explain this simplified treatment algorithm of frontal sinus fractures. Methods: The authors reviewed articles on the management of frontal sinus fractures. Results: Complicated treatment planning algorithms of frontal sinus fractures aiming for obliteration were replaced with a simplified algorithm aiming for ventilation of the frontal sinus. Conclusion: The authors suggest that a simplified algorithm can replace the complicated algorithms in selective cases.

Keywords

References

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