Mund-, Kiefer- und Gesichtschirurgie : MKG
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Mund Kiefer Gesichtschir · May 1998
[Obliteration of the frontal sinus with lyophilized cartilage in frontal fractures].
Obliteration of the frontal sinus is frequently necessary in the appropriate treatment of major craniofacial trauma of the upper third of the face. Successful frontal sinus obliteration requires (1) meticulous removal of the frontal sinus mucosa, (2) permanent occlusion of the nasofrontal duct and (3) obliteration of the denuded cavity. The current techniques include implantation of autologous fat, bone or muscle. ⋯ The present study reviews 51 patients with obliteration of the frontal sinus due to craniofacial trauma. In none of the patients were there clinical or radiological signs of postoperative mucocele formation. Progressive ossification of the implanted cartilage was verified in most of the patient population.
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Mund Kiefer Gesichtschir · May 1998
Case Reports[Modifications of fronto-orbital osteotomy as an approach to the anterior and middle skull base].
Various extracranial, intracranial and combined extra-intracranial approaches have been described for the surgical therapy of tumours of the anterior and medial cranial base. A combined extra-intracranial approach is indicated in cases in which the cranial base tumour spreads out intracranially and at the same time into the main nasal cavity, the paranasal space and/or the orbits. ⋯ Generally, additional transfacial incisions are unnecessary. The operative techniques are described and the results of 108 cases of tumours of the skull base shown.