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Title: Evaluation of the clinical usefulness of Stanley's modified frontal sinus fracture classification, based on clinical material analysis
Abstract:
101 patients with various forms of frontal sinus injures treated in 1996-2002 at the Collegium Medicum Maxillofacial Surgery Clinic and Neurotraumatology Clinic of the Jagiellonian University in Kraków, were the subjects of a retrospective analysis. Patients were divided into 4 groups depending on the frontal sinus fracture type, according to the classifications of Newman and Travis, Donald and Bernstein, extended by Stanley. Frontal sinus fractures of the anterior wall (Type I) were found in 26 patients, fractures of anterior and posterior walls (Type II) were found in 55 patients, and isolated posterior wall fractures (Type III) were found in 19 patients. In one patient, a "piercing" fracture was found, i.e. an open fracture with skin defect, multiple-fragment fracturing of the anterior and posterior walls, penetrating to the frontal lobe of the brain. The classification of frontal sinus fractures according to Donald and Bernstein, Newman and Travis, modified by Stanley, is clinically useful and determines the direction of the treatment procedure. Based on these classifications, indications are made for surgical treatment of frontal sinus fractures with suspicion of frontonasal ducts. Due to the number of coexisting multi-organ and multiple location injuries, the treatment of the frontal sinus fractures requires multi-specialist diagnosis and dressing. Single-stage surgical t ; reatment of frontal sinus fractures with reconstructive surgery on the anterior cranial fossa and surgical treatment of coexisting injuries, provides an optimal treatment result and a low percentage of early and late inflammatory complications.
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Last modified:
Jul 19, 2022
In our library since:
Nov 21, 2012
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7
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http://dl.cm-uj.krakow.pl:8080/publication/1117
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| Edition name | Date |
|---|---|
| ZB-105402 | Jul 19, 2022 |
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