Obliteración de fracturas de seno frontal con colgajos pediculados.

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Title: Obliteración de fracturas de seno frontal con colgajos pediculados.
Alternate Title: Obliteration of frontal sinus fractures with pedicle flaps.
Authors: Pefaure, J.1 joaquinpefaure@gmail.com, Mackfarlane, M.1, Bustos-Martínez, G.2, Angrigiani, C.3
Source: Cirugía Plástica Ibero-Latinoamericana. ene-mar2014, Vol. 40 Issue 1, p55-61. 7p.
Abstract (English): The commitment of the frontal sinus with involvement of its walls is a rare lesion, around 5-12 % of all facial fractures. It's usually associated with intracranial, ophthalmologic, maxillofacial fractures and other injuries, and when there is a fracture of the posterior wall, requires immediate treatment with frontal sinus obliteration due to communication with meninges and frontal lobe because of infectious risk. We treat 18 patients with craniofacial trauma and fractures of the frontal sinus with involvement of the posterior wall in the period between 2007 and 2011, 8 women and 10 men, aged between 15 and 64 years. All cases were treated with open reduction and internal fixation using different appoaches and using adjacent pedicle flaps. The vitality of the flaps was 100%. We certify the correct positioning by computed tomography. The treatment of the fractures of the frontal sinus with involvement of the posterior wall or of the nasofrontal duct require obliteration with vascularized tissue to prevent communication with the nasal cavity. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): El compromiso del seno frontal con fractura de sus paredes es un tipo de lesión infrecuente, en torno al 5-12% de todas las fracturas faciales. Suele asociarse a lesiones intracraneales, oftalmológicas y a otras fracturas máxilofaciales y cuando conlleva fractura de la pared posterior de seno frontal requiere tratamiento inmediato, siendo necesaria la obliteración del seno frontal debido a la comunicación con meninges y lóbulo frontal, con el riesgo infeccioso que ello representa. Tratamos 18 pacientes con traumatismos craneofaciales y fracturas del seno frontal con compromiso de su pared posterior en el periodo comprendido entre 2007 y 2011; 8 mujeres y 10 varones con edades comprendidas entre los 15 y los 64 años. Todos los casos fueron tratados con reducción y osteosíntesis por vía abierta con distintos abordajes y realizamos en todos colgajos pediculados de vecindad. La vitalidad de los colgajos fue del 100%. Certificamos el posicionamiento correcto mediante tomografía axial computarizada. El tratamiento de las fracturas del seno frontal con compromiso de su pared posterior o del conducto nasofrontal requiere obliteración con tejido vascularizado para evitar comunicaciones con la cavidad nasal. [ABSTRACT FROM AUTHOR]
Copyright of Cirugía Plástica Ibero-Latinoamericana is the property of Cirugia Plastica Ibero-Latinoamericana and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. 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. (Copyright applies to all Abstracts.)
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  Data: Obliteración de fracturas de seno frontal con colgajos pediculados.
– Name: TitleAlt
  Label: Alternate Title
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  Data: Obliteration of frontal sinus fractures with pedicle flaps.
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  Data: <searchLink fieldCode="AR" term="%22Pefaure%2C+J%2E%22">Pefaure, J.</searchLink><relatesTo>1</relatesTo><i> joaquinpefaure@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Mackfarlane%2C+M%2E%22">Mackfarlane, M.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Bustos-Martínez%2C+G%2E%22">Bustos-Martínez, G.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Angrigiani%2C+C%2E%22">Angrigiani, C.</searchLink><relatesTo>3</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22Cirugía+Plástica+Ibero-Latinoamericana%22">Cirugía Plástica Ibero-Latinoamericana</searchLink>. ene-mar2014, Vol. 40 Issue 1, p55-61. 7p.
– Name: Abstract
  Label: Abstract (English)
  Group: Ab
  Data: The commitment of the frontal sinus with involvement of its walls is a rare lesion, around 5-12 % of all facial fractures. It's usually associated with intracranial, ophthalmologic, maxillofacial fractures and other injuries, and when there is a fracture of the posterior wall, requires immediate treatment with frontal sinus obliteration due to communication with meninges and frontal lobe because of infectious risk. We treat 18 patients with craniofacial trauma and fractures of the frontal sinus with involvement of the posterior wall in the period between 2007 and 2011, 8 women and 10 men, aged between 15 and 64 years. All cases were treated with open reduction and internal fixation using different appoaches and using adjacent pedicle flaps. The vitality of the flaps was 100%. We certify the correct positioning by computed tomography. The treatment of the fractures of the frontal sinus with involvement of the posterior wall or of the nasofrontal duct require obliteration with vascularized tissue to prevent communication with the nasal cavity. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: El compromiso del seno frontal con fractura de sus paredes es un tipo de lesión infrecuente, en torno al 5-12% de todas las fracturas faciales. Suele asociarse a lesiones intracraneales, oftalmológicas y a otras fracturas máxilofaciales y cuando conlleva fractura de la pared posterior de seno frontal requiere tratamiento inmediato, siendo necesaria la obliteración del seno frontal debido a la comunicación con meninges y lóbulo frontal, con el riesgo infeccioso que ello representa. Tratamos 18 pacientes con traumatismos craneofaciales y fracturas del seno frontal con compromiso de su pared posterior en el periodo comprendido entre 2007 y 2011; 8 mujeres y 10 varones con edades comprendidas entre los 15 y los 64 años. Todos los casos fueron tratados con reducción y osteosíntesis por vía abierta con distintos abordajes y realizamos en todos colgajos pediculados de vecindad. La vitalidad de los colgajos fue del 100%. Certificamos el posicionamiento correcto mediante tomografía axial computarizada. El tratamiento de las fracturas del seno frontal con compromiso de su pared posterior o del conducto nasofrontal requiere obliteración con tejido vascularizado para evitar comunicaciones con la cavidad nasal. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Cirugía Plástica Ibero-Latinoamericana is the property of Cirugia Plastica Ibero-Latinoamericana and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. 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.</i> (Copyright applies to all Abstracts.)
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