6.13.24
Quick Review #149 - #surgery #surgeon #doctorgallagher #oralsurgery #oralsurgeon #omfs #dentist #dentistry #dental #cranialization
Cranialization of the frontal sinus is a surgical procedure typically performed to address extensive frontal sinus disease, trauma, or tumors that affect the frontal sinus.
• Procedure: This procedure involves removing the posterior wall of the frontal sinus and allowing the brain to occupy the space that was previously the sinus cavity.
• Indications: Cranialization is indicated for severe frontal sinus fractures, chronic frontal sinusitis that is refractory to other treatments, mucoceles, osteomyelitis of the frontal bone, and tumors affecting the frontal sinus.
• Advantages: This procedure effectively eliminates the sinus as a separate cavity, reducing the risk of recurrent sinusitis and potential complications like brain abscess or meningitis.
• Risks: As with any surgical procedure, cranialization carries risks such as infection, bleeding, cerebrospinal fluid (CSF) leaks, and potential damage to surrounding structures, including the brain and orbits.
Why It Is Performed: Cranialization of the frontal sinus is performed primarily to manage conditions that cannot be adequately treated by less invasive means. The primary goals of the procedure include:
• Preventing Infection: By removing the sinus cavity, the procedure helps to prevent chronic or recurrent infections that could spread to the brain or orbits.
• Reducing Complications: It eliminates the potential for mucoceles and other complications associated with untreated or improperly treated frontal sinus disease.
• Improving Patient Outcomes: For patients with severe trauma, tumors, or intractable chronic sinusitis, cranialization can significantly improve long-term outcomes and quality of life by addressing the root cause of their condition.
References:
1. Fusetti, S., Hammer, B., Kellman, R., Matula, C., Strong, E. B., & Di Ieva, A. (n.d.). Cranialization: Frontal sinus fracture, posterior table. In D. Buchbinder (Ed.), AO Surgery Reference. Retrieved June 12, 2024, from https://lnkd.in/enZ3Xktn
2. Patel, A., Mafee, M. F., & Chan, L. L. (2011). Surgical management of frontal sinus fractures. Radiologic Clinics of North America, 49(1), 203-213. https://lnkd.in/eAwzbEt7
3. Costa, M. J., Robiony, M., Toro, C., & Politi, M. (2010). Treatment of frontal sinus fractures: A review of 72 cases. Journal of Oral and Maxillofacial Surgery, 68(7), 1673-1677. https://lnkd.in/e9pUjCKu
4. Fliss, D. M., Zucker, G., & Cohen, A. (1999). Management of extensive frontoethmoidal sinus tumors. Archives of Otolaryngology–Head & Neck Surgery, 125(10), 1083-1088. https://lnkd.in/eaRzV22k
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