Modified technique for frontal sinus obliteration using calvarial bone and Tisseel glue.
| Autor: | Kang GC; Department of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital, Singapore City, Singapore., Sng KW, Tay AG |
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| Jazyk: | angličtina |
| Zdroj: | The Journal of craniofacial surgery [J Craniofac Surg] 2009 Mar; Vol. 20 (2), pp. 528-31. |
| DOI: | 10.1097/SCS.0b013e31819b9fa1 |
| Abstrakt: | Background: Frontal sinus obliteration is indicated in trauma and frontal sinus disease. We present our experience with a modified technique of frontal sinus obliteration. Methods: We reviewed the records of 17 patients who underwent frontal sinus obliteration with a combination of Tisseel fibrin glue (Baxter Healthcare Corporation, Deerfield, IL) and calvarial bone and describe our technique. Results: One female and 16 male patients (mean age, 36.6) underwent frontal sinus obliteration from 2001 to 2005. Traumatic fracture was the most common indication. The patients were followed up for a median of 15 months. There were no major complications. Postoperatively, one patient developed a localized frontal wound infection at 3 weeks; this resolved with debridement. At latest follow-up, all were free from local sinus complications, disease recurrence, headaches, or intracranial events. Conclusions: The combined use of autogenous calvarial bone and Tisseel is suitable for frontal sinus obliteration. Our technique is associated with low donor site morbidity, avoids a separate donor surgical site, and has a low complication rate. |
| Databáze: | MEDLINE |
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