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Management of complications in fronto-orbital craniofacial trauma. Source: ORL.

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Author s : Bănică, Bogdan; Laslău, Mircea; Teleanu, Dan; Vrînceanu, Daniela Abstract: Fractures of the upper wall of the orbit are rarely isolated at the level of the upper wall of the orbit in the adult population. Most commonly, they are associated with fracture lines which interest the supraorbital margin that enters the anterior wall of the frontal sinus in traumas with high kinetic energy.

Severe joint fractures require neurosurgical and ENT interdisciplinary collaboration, as their treatment usually involves the associated frontal sinus fracture management.

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Immediate complications in the fractures of the superior wall of the orbit with the involvement of the frontal sinus may occur within up to 6 months from the trauma: frontal sinusitis, meningitis, brain abscess, cavernous sinus thrombosis, CSF fistulas, diplopia or blindness, limitation of eye movements, neurosensory deficiency in inverted papilloma frontal sinus territory of the supraorbital or supraulnar nerves.

Late complications can occur more than 6 months after the trauma: formation of mucocele or pio mucocele, late frontal sinusitis, secondary brain abscess, aesthetic defects.

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Materials and method. We present a case report of upper-third of the face resolved in a mixed team, OMF surgeon - neurosurgeon - ENT surgeon. The treatment of frontal sinus fractures with orbit interest is controversial and complex.

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  3. Although the surgical staff has a sinonasal inverted papilloma mri of experience in doing the endoscopic transnasal approach, there are some cases where the transnasal route cannot safely solve certain pathologies.
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The treatment options include: hospitalization, reduction and fixation - osteosynthesis, osteosynthesis and obliteration of the frontal sinus, osteosynthesis and cranialization of the frontal sinus.

Immediate and late complications in fronto-orbital craniofacial trauma must be correctly diagnosed.

  • Informații despre medicamente antiparazitare
  • Rar este ntlnit la nivelul vestbulului, septului, rinofaringelui, sinusurilor frontale i sfenoidale sau la nivelul sacului la- crimal.
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The therapeutic strategy depends on the aesthetic and functional deficits. Copyright of ORL. However, users may print, download, or email articles for individual use.

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This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.

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