[Delayed endoscopic reconstruction of the anterior wall of the frontal sinus: Technical note].
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Date publication
novembre 2015
Auteurs
Membres identifiés du Cancéropôle Est :
Pr ZWETYENGA Narcisse
Tous les auteurs :
Mommers XA, Zwetyenga N, Meningaud JP
Lien Pubmed
Résumé
INTRODUCTION: Reconstruction of the anterior wall of the frontal sinus usually requires a coronal incision. This extended approach may lead to paresthesia, unsightly scars, bruises and cicatricial alopecia. These complications encouraged several authors to endoscopic management of this kind of fractures. We present a delayed technique of reconstruction of the anterior wall of the frontal sinus by means of endoscopic hydroxyapatite filling. TECHNICAL NOTE: Two incisions were performed behind the hair line. Subperiosteal dissection using a periosteal elevator was performed. A 30 degrees angled endoscope was used to visualize the depression. The latter was filled by Hydroset((R)) (Stryker, USA) as a bone substitute. DISCUSSION: In the absence of contra-indication, the reconstruction of the anterior wall of the frontal sinus by means of endoscopic hydroxyapatite filling has many advantages including uneventful outcome, reduction of the hospital stay and a fast learning curve.
Référence
Rev Stomatol Chir Maxillofac Chir Orale. 2015 Nov;116(5):308-11