New studies show that
frontal sinus fractures can be successfully repaired with an endoscopic
technique. Though challenging, this new technique could have many
benefits to the patient.
Development of instrumentation
and techniques for endoscopic brow lifting has opened the door for
other endoscopic procedures. The main benefit of an endoscopic surgery
is that the patient does not have large incisions. Just two or three
small incisions are made, usually in the hairline.
Frontal sinus fractures
account for 5 percent to 15 percent of facial injuries. They are
commonly associated with motor vehicle crashes, sporting events
and assaults. Researchers from the University of California, Davis
conducted a study to test endoscopic repair on frontal sinus fractures
on 11 cadavers.
Researchers say the
miniplates were done in five cadavers. Two were successful and one
was partially successful. Bone cement was used in nine cadavers
and researchers rated all of them excellent or good.
Researchers say frontal
sinus fractures can be done with an endoscopic repair approach,
though it is a challenging procedure where success rates can vary.
They say the bone cement offered the best outcome.
Doctors used the standard
incisions in the hairline and a one-centimeter incision below to
see the fracture. The fractures were then repaired with the use
of a miniplate or with bone cement. Generally, the difficulty in
repairing a frontal sinus fracture is getting it to look normal
and not have deformities.