額竇骨折的手術處理－二病例報告

Surgical Treatment of Frontal Sinus Fracture-Report of 2 Cases

鐘景宏(C. H. Chung) ； 王東堯(T. Y. Wong) ； 黃振動(J. S. Huang) ； 陳宏安(H. A. Chen)

《中華民國口腔顎面外科學會雜誌》 7卷1期 (1996/03) Pp. 6-14

https://doi.org/10.7104/CJOMS.199603.0006

摘要

額竇骨折在顏面外傷病人的發生率頗低，較常合併出現於複雜的顱顏面骨骨折，處理原則：㈠觀察及照會神經外科；㈡给予適當抗生素以預防感染；㈢需要時予以手術處理。手術目的是：㈠恢復外形；㈡分隔鼻腔和顱腔；㈢預防骨折的後遗症如黏液囊腫等。本文提出兩例利用額竇黏膜摘除術和以顱骨骨植體填塞額竇方法來處理額竇骨折。本文強調適當病例選擇和嚴謹的手術技術。

關鍵字

額竇骨折 ； 額竇摘除 ； 額竇填塞

並列摘要

Frontal sinus fracture is uncommon but may be a part of complex fracture involving central facial skeletons. The principles of management are (1) observation and consultation with neurosurgeon; (2) proper antibiotics administration; (3) surgery if indicated. The goals of surgery are: (1)restore contour; (2) separate cranial cavity from nasal cavity; (3) prevent late complications such as mucocele. Two cases of frontal sinus fracture treated with sinus ablation and sinus obliteration with cranial bone graft were reported. Proper case selection and meticulous surgical technique were emphasized.