Frontal Sinus Fractures: 10-Year Contemporary Experience at a Level 1 Urban Trauma Center.
Journal
The Journal of craniofacial surgery
ISSN: 1536-3732
Titre abrégé: J Craniofac Surg
Pays: United States
ID NLM: 9010410
Informations de publication
Date de publication:
01 Jun 2021
01 Jun 2021
Historique:
pubmed:
2
3
2021
medline:
15
12
2021
entrez:
1
3
2021
Statut:
ppublish
Résumé
Frontal sinus fractures account for 5% to 15% of all facial fractures, and have traditionally been associated with high kinetic energy blunt injury. Surgical management is largely focused on minimizing potentially serious sequelae including frontal sinus dysfunction, CSF leak, and significant cosmetic deformity. An institutional database of 1944 patients presenting with maxillofacial fractures over a 10-year period was queried. Demographics, mechanism of injury, yearly trends, surgical approaches, and follow-up data were examined. A total of 160 (8.3%) patients presented with at least 1 fracture of the frontal sinus anterior table, posterior table, or frontal sinus outflow tract during the study period. The average annual number of cases was 15.9 ± 5.7 per year with a peak of 21.5 ± 4.0 cases during the 2014 to 2015 period and a decline to 8.5 ± 1.5 cases/year from 2016 to 2017. Among those patients with falls, 61.5% (n = 40) were a result of tripping or fainting at a height of <6 ft. 55.6% of fracture types were isolated to the anterior table, but fracture location was not significantly associated with operative intervention. Cases of operative fracture type had a higher rate of both displacement and comminution compared to nonoperative fractures (P < 0.00001). Of all patients presenting with frontal sinus fractures, 75% of cases were managed nonoperatively. However, many patients presented with falls and other seemingly low energy injuries which are not traditionally associated with frontal sinus trauma. These results highlight the need for continued follow-up even in otherwise low-risk urban populations in order to avoid long term sinus dysfunction.
Identifiants
pubmed: 33645957
pii: 00001665-202106000-00022
doi: 10.1097/SCS.0000000000007426
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1376-1380Informations de copyright
Copyright © 2020 by Mutaz B. Habal, MD.
Déclaration de conflit d'intérêts
The authors report no conflicts of interest.
Références
Wichova H, Alexander GC, Villwock JA. Does the frontal sinus need to be obliterated following fracture with frontal sinus outflow tract injury? Laryngoscope 2017; 127:1967–1969.
Choi KJ, Chang B, Woodard CR, et al. Survey of current practice patterns in the management of frontal sinus fractures. Craniomaxillofac Trauma Reconstr 2017; 10:106–116.
Strong EB, Pahlavan N, Saito D. Frontal sinus fractures: a 28-year retrospective review. Otolaryngol Head Neck Surg 2006; 135:774–779.
Crime Statistics. Crime statistics - NYPD. Available at: www.nyc.gov/site/nypd/stats/crime-statistics/crime-statistics-landing.page
Assault. Bureau of Justice Statistics (BJS). Available at: www.bjs.gov/index.cfm?ty=tp&tid=316
Bell RB, Dierks EJ, Brar P, et al. A protocol for the management of frontal sinus fractures emphasizing sinus preservation. J Oral Maxillofac Surg 2007; 65:825–839.
May M, Ogura JH, Schramm V. Nasofrontal duct in frontal sinus fractures. Arch Otolaryngol 1970; 92:534–538.
Xie C, Mehendale N, Barrett D, et al. 30-year retrospective review of frontal sinus fractures: the Charity Hospital experience. J Craniomaxillofac Trauma 2000; 6:7–15.
Salentijn EG, Peerdeman SM, Boffano P, et al. A ten-year analysis of the traumatic maxillofacial and brain injury patient in Amsterdam: incidence and aetiology. J Craniomaxillofac Surg 2014; 42:705–710.
Buyten, J. Frontal Sinus Fractures. (2006).
Fox PM, Garza R, Dusch M, et al. Management of frontal sinus fractures: treatment modality changes at a level I trauma center. J Craniofac Surg 2014; 25:2038–2042.
Mammen K, Shim HS, Weber BS. Vision zero: speed limit reduction and traffic injury prevention in New York City. East Econ J 2019; 1–19.
Glass AJ, Kenjegalieva K, Sickles RC. How efficiently do US cities manage roadway congestion? J Product Anal 2013; 40:407–428.
Kim E, Muennig P, Rosen Z. Vision zero: a toolkit for road safety in the modern era. Inj Epidemiol 2017; 4:1.
Kegler SR, et al. Firearm homicides and suicides in major metropolitan areas—United States, 2006-2007 and 2009-2010. MMWR Morb Mortal Wkly Rep 2013; 62:597–602.
McLaughlin RB, Rehl RM, Lanza DC. Clinically relevant frontal sinus anatomy and physiology. Otolaryngol Clin North Am 2001; 34:1–22.
Rodriguez ED, Stanwix MG, Nam AJ, et al. Twenty-six–year experience treating frontal sinus fractures: a novel algorithm based on anatomical fracture pattern and failure of conventional techniques. Plast Reconstr Surg 2008; 122:1850–1866.
Wallis A, Donald PJ. Frontal sinus fractures: a review of 72 cases. Laryngoscope 1988; 98:593–598.
Choi M, Li Y, Shapiro SA, et al. A 10-year review of frontal sinus fractures: clinical outcomes of conservative management of posterior table fractures. Plast Reconstruct Surg 2012; 130:399–406.
Koento T. Current advances in sinus preservation for the management of frontal sinus fractures. Curr Opin Otolaryngol Head Neck Surg 2012; 20:274–279.
Dedhia RD, Morisada MV, Tollefson TT, et al. Contemporary management of frontal sinus fractures. Curr Opin Otolaryngol Head Neck Surg 2019; 27:253–260.
Patel SA, Berens AM, Devarajan K, et al. Evaluation of a minimally disruptive treatment protocol for frontal sinus fractures. JAMA Facial Plast Surg 2017; 19:225–231.
Adelson RT, Wei C, Palmer JN. Frontal Sinus Fractures. Atlas of Endoscopic and Sinonasal Skull Base Surgery. 2013; Pennsylvania: Elsevier, 337–356.
Gossman DG, Archer SM, Arosarena O. Management of frontal sinus fractures: a review of 96 cases. Laryngoscope 2006; 116:1357–1362.
Gerbino G, Roccia F, Benech A, et al. Analysis of 158 frontal sinus fractures: current surgical management and complications. J Craniomaxillofac Surg 2000; 28:133–139.
Wilson BC, Davidson B, Corey JP, et al. Comparison of complications following frontal sinus fractures managed with exploration with or without obliteration over 10 years. Laryngoscope 1988; 98:516–520.