Surgical Treatment of Severe Frontal Bone Fracture

2015 ◽  
Vol 26 (3) ◽  
pp. e229-e231 ◽  
Author(s):  
Leonardo Perez Faverani ◽  
Sabrina Ferreira ◽  
Gustavo Antonio Correa Momesso ◽  
Matheus da Silva Brasilino ◽  
Rafael Santiago de Almeida ◽  
...  
2019 ◽  
Vol 72 (9) ◽  
pp. 1791-1794
Author(s):  
Vasyl Kishchuk ◽  
Oleksandr Bondarchuk ◽  
Ihor Dmitrenko ◽  
Kateryna Lobko ◽  
Yaroslav Hrytsun ◽  
...  

Introduction: At present biocomposite materials are used in the surgical treatment of frontal bone fracture. They improve osteogenesis, reduce the number of complications. Immunologic aspects of application of these materials are studied insufficiently, therefore this report presents the results of immunoassay of patients with frontal bone fracture in the proximate posttraumatic period before implanting preparation “Syntekost”. The aim: To define the role of immune mechanisms in the realization of the biocomposite material’s positive influence on the development of effective posstraumatic rehabilitation schemes. Materials and methods: 16 patients with frontal bone fracture (FBF) were examined on admission to the Otolaryngology Clinics of Vinnitsa Region Hospital. Additionally, 10 patients of the similar age were examined as a control group. The content of cells with markers of surface antigens-CD3,14,16,20,25, concentration of immunoglobulins of classes M,G,A,E, С4 complement component and lactoferrin was determined in blood. Immunoenzyme methods were applied. Nonparametric Wilcoxon — Mann — Whitney test, computer programme WIN Pepi were used for statistical measurements. Results: A decrease in the level of IgM in comparison with practically healthy donors and an increase in the concentration of lactoferrin were identified as humoral immunity factors of patients with frontal basilar trauma. The most significant deviation in the peripheral blood cellular makeup in CD-markers was an increase in cells with markers CD14 and CD16. Conclusions: The level of cells and prodefensin-lactoferrin that maintain inborn immunity increases and the concentration of coarse defensive protein decreases in the initial period after frontal bone fracture, which must be taken into consideration during post-surgical treatment.


2018 ◽  
Vol 2 (3) ◽  
pp. 167
Author(s):  
Adam Mohamad ◽  
Irfan Mohamad ◽  
Khairulzaman Adnan ◽  
Syed Yusoff Alzawawi Syed Abdul Fattah

Frontal bone fracture is a common facial bone fracture which commonly involved the outer table part. Most of the time outer table fracture is treated conservatively. However, when there is involvement of orbital wall fracture, as well as entrapment of extraocular muscle, surgical intervention via open reduction and internal fixation is needed. We described a case of outer table frontal bone fracture with left orbital roof fracture complicated with superior rectus muscle entrapment which was successfully treated via open reduction and internal fixation.International Journal of Human and Health Sciences Vol. 02 No. 03 July’18. Page : 167-169


2009 ◽  
Vol 16 (3) ◽  
pp. 80-85
Author(s):  
Evgeniy Dmitrievich Sklyanchuk ◽  
V I Zorya ◽  
V V Gur'ev ◽  
A A Prosvirin ◽  
E D Sklyanchuk ◽  
...  

Authors elaborated method for surgical treatment of bones extremity including endostal decortication of fragments after marginal corticotomy, forming of fenestrated access into pseudarthrosis, plasty endostal cavity by collagenic materials (collost, collapan) and autogenic chip from the local tissue obtained during endostal decortication. That method was used during the treatment of 40 pseudarthroses in 37 patients. There were pseudarthroses of crus in 15 patients, forearm - in 9, femur - in 6, shoulder - in 4 and clavicular - in 3 patients. Healing of pseudarthroses were achieved in all cases in time similar to terms of bone fracture healing. However duration and traumatization of surgical intervention was reliably lower than in traditional bone-plastic operations.


2005 ◽  
Vol 16 (3) ◽  
pp. 461-463 ◽  
Author(s):  
Bryan C McIntosh ◽  
John Strugar ◽  
Deepak Narayan
Keyword(s):  

Author(s):  
Rakshith Srinivasa ◽  
Sunil V. Furtado ◽  
Tanvy Sansgiri ◽  
Kuldeep Vala

Abstract Aim We present our experience in the management of frontal bone fractures using the previously described radiologic classification of frontal bone fractures. Methodology A retrospective study was conducted, which reviewed the medical records and computed tomographic (CT) scan images of patients with frontal bone fracture from January 2016 to February 2019. Patients with complete medical records and a follow-up of minimum 1 year were included in the study. Demographic details, mechanism of injury, associated intracranial injuries, maxillofacial fractures, management, and complications were analyzed. CT scan images were used to classify the frontal bone fractures using the novel classification given by Garg et al (2014). The indications for surgical treatment were inner table frontal sinus fracture with cerebrospinal fluid (CSF) leak, intracranial hematoma with significant mass effect requiring surgical evacuation, and outer table comminuted fracture that is either causing nasofrontal duct obstruction or for cosmetic purpose. Results A total of 55 patients were included in the study. Road traffic accidents as the commonest cause of frontal bone fractures. The most common fracture pattern was type 1 followed by type 5 and depth B followed by depth A. Four patients presented with CSF rhinorrhea. CSF rhinorrhea was more frequent with fracture extension to the skull base (depth B, C, D), which was statistically significant (p < 0.001). Conclusion Frontal bone fracture management has to be tailor-made for each patient based on the extent of the fracture, presence of CSF leak, and associated intracranial and maxillofacial injuries.


2018 ◽  
Vol 3 (1) ◽  
Author(s):  
Christian Asel ◽  
Michael Malek ◽  
Franz A. Fellner

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