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- W2009891471 abstract "The higher prevalence of frontal sinus fractures occur in young male patients involved in car accidents. The fracture may affect the anterior wall and/or posterior, with or without involvement of the naso-frontal duct. The treatment of these fractures is extremely important because of the anatomical relationship of the sinus with the anterior cranial fossa and the roof of orbit. The surgery aims to restore function, aesthetics and prevent complications such as meningitis, encephalitis and pyocele. The best treatment to achieve these goals is with a proper diagnosis, focusing on physical examination associated with imaging. Surgical exploration and completion of the breast are needed when there is displacement of the anterior wall and the naso-frontal duct is injured. Completion of the airways requires meticulous curettage of the mucosa and permanent obliteration of the naso-frontal duct. This article presents a case of fracture of the anterior frontal sinus and orbital roof in a 16 years-old female patient involved in a car accident, for reconstruction of the defect, plates and screws were used and obliteration of the naso-frontal duct by filling the sinus with a temporalis muscle flap. A maior prevalência de fracturas do seio frontal ocorre em pacientes jovens do género masculino envolvidos em acidentes automobilísticos. A fractura pode afectar a parede anterior e/ou posterior, com ou sem envolvimento do ducto naso-frontal. O manuseamento dessas fracturas é de extrema importância devido à relação anatómica do seio com a fossa craniana anterior e o teto da órbita. A cirurgia visa restaurar a função, a estética e prevenir complicações como meningite, encefalite e piocele. O melhor tratamento para alcançar esses objectivos é através de um diagnóstico adequado, focando o exame físico associado com exames de imagem. A exploração cirúrgica e preenchimento do seio são necessários quando há deslocamento da parede anterior e o ducto naso-frontal encontra-se lesado. O preenchimento do seio necessita de meticulosa curetagem da mucosa e obliteração permanente do ducto naso-frontal. O presente trabalho expõe um caso de fractura da parede anterior do seio frontal e teto da órbita em um paciente do género feminino de 16 anos de idade, vítima de acidente automobilístico, submetido à reconstrução do defeito com fixação por meio de placas e parafusos de titânio e obliteração do seio e ducto naso-frontal através de retalho do músculo temporal e Gelfoam (gelatina absorvível)." @default.
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- W2009891471 date "2010-10-01" @default.
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- W2009891471 title "Tratamento de Fratura do Seio Frontal seguido da Obliteração do Sistema de Drenagem: Relato de Caso" @default.
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- W2009891471 doi "https://doi.org/10.1016/s1646-2890(10)70101-1" @default.
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