Minimally invasive method of surgical treatment of impressed comminuted fractures of the frontal sinus
https://doi.org/10.51922/1818-426X.2026.2.107
Abstract
Frontal sinus fractures (5–15 % of maxillofacial injuries) pose significant clinical challenges due to risks of cosmetic defects, functional impairment, and complications like post-traumatic sinusitis. This study presents a minimally invasive surgical technique for depressed comminuted fractures using external fragment immobilization.
Methods: 3 6 p atients (aged 1 6–27) w ith 7–10mm d isplaced f ractures u nderwent C T with 3D reconstruction. Surgical treatment involved percutaneous reduction using Limberg’s hook through a 1.5–3mm incision, followed by fixation with a perforated titanium plate removed on day 5.
Results. All cases showed excellent anatomical restoration and sinus function. Latepresentation cases (17–56 days post-injury) required more extensive reduction but achieved comparable outcomes. Bacterial growth was detected in 62.5 % of cases, with 3rd-gen cephalosporins proving most effective.
Conclusions. The developed method combines minimal invasiveness, precise repositioning of fragments and reliable fixation, which ensures a good cosmetic and functional result. The optimal time for intervention is up to 5–6 days after injury.
About the Authors
A. A. Borovski
Byelorussian State Medical University
Belarus
Belarus
Minsk
A. S. Fedulov
Byelorussian State Medical University
Belarus
Belarus
Minsk
A. V. Gromyko
Byelorussian State Medical University
Belarus
Belarus
Minsk
D. P. Veevnik
City Clinical Emergency Hospital
Belarus
Belarus
Minsk
A. V. Shamcalovich
Byelorussian State Medical University
Belarus
Belarus
Minsk
References
1. Kryukov, A. I., Kunel’skaya N. L., Artem’ev M. E., Kudryavtseva Yu. S., Surikov E. V. Rehabilitation of patients with acute injury of the anterior wall of the frontal sinus. Materials of the III International Congress “Rehabilitation Medicine and Rehabilitation 2006”. – M., 2006. – Р. 114–115 (in Russian).
2. Mironov, A. A., Artem’ev M. E., Kudryavtseva Yu. S., Surikov E. V. Methods of plasty of the anterior wall of the frontal sinus // Vestn. Otorinolaringologii. – 2007. – Vol. 1. – Р. 41–42 (in Russian).
3. Volkov, A. G. Restoration of anatomy and physiology of the frontal sinuses after their opening // Uspehi sovremennogo estestvoznaniya. – 2006. – Vol. 1. – Р. 50–50 (in Russian).
4. Yatsenko, V. V. Variants of plastic closure of defects of the walls of the paranasal sinuses // Voennaya meditsina. – 2008. – Vol. 2. – Р. 121–123 (in Russian).
5. Weber, R., Draft W., Kratzsch B., Hosemann W., Schaefer S. D. Modern concepts of frontal sinus surgery // Laryngoscope. – 2001. – Vol. 111(1). – Р. 137–146.
Review
For citations:
Borovski A.A., Fedulov A.S., Gromyko A.V., Veevnik D.P., Shamcalovich A.V. Minimally invasive method of surgical treatment of impressed comminuted fractures of the frontal sinus. Medical Journal. 2026;(2):107-112. (In Russ.) https://doi.org/10.51922/1818-426X.2026.2.107
Views:
38
JATS XML
Email this article 