Arch Aesthetic Plast Surg.  2012 Feb;18(1):45-50.

Correction of Closed Outer Table Fracture of Frontal Sinus using Upper Eyelid Incision and Autogenous Bone Graft

• Lee Y
• Park S
• Kim PC
• Lee Y
• Park D

Abstract

PURPOSE
The bicoronal incision, traditional procedure to correct the frontal sinus fracture, could remain a long scar, alopecia etc. Hence, the authors introduce the procedure to fix the outer table fracture of the frontal sinus through the upper eyelid incision as a concealed scar. MATERIAL & METHODS: From November, 2007 to December, 2010, five patients who suffered from outer table fracture of frontal sinus fracture underwent operation to correct the depressed contour of forehead. Instead of the reduction of depressed outer wall, autogenous bone was grafted trough the upper eyelid incision. The result of operation was evaluated with VAS score system(score arrange 0 to 5). VAS score was taken from patients as well as 4 plastic surgeons.
RESULTS
Both patients and surgeons were satisfied about result of operation. The overall average score from plastic surgeon was 4.2. Especially to the scar of upper eyelid incision, the score was 4.7. Average score from the patients was 4.1. And there were no other complications as follow-up periods.
CONCLUSION
This technique could be one of good options to correct the depression after the outer table fracture of the frontal sinus. And this technique has some benefits to overcome the disadvantage of previous introduced methods.

Keyword

Eyelids; Frontal sinus; Closed fracture; Bone transplantation

MeSH Terms

Alopecia
Bone Transplantation
Cicatrix
Depression
Eyelids
Follow-Up Studies
Forehead
Fractures, Closed
Frontal Sinus
Humans
Transplants