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Archives of Aesthetic Plastic Surgery 2012;18(1):45-50.
Published online February 29, 2012.
Correction of Closed Outer Table Fracture of Frontal Sinus using Upper Eyelid Incision and Autogenous Bone Graft.
Yongjig Lee, Sanguk Park, Peter Chanwoo Kim, Youngbae Lee, Daehwan Park
1Department of Plastic and Reconstructive Surgery, Catholic University of Daegu School of Medicine, Daegu, Korea.
2EFIL Plastic and Aesthetic Clinic, Daegu, Korea.
PURPOSE: The bicoronal incision, traditional procedure to correct the frontal sinus fracture, could remain a long scar, alopecia etc. Hence, the authors introduce the procedure to fix the outer table fracture of the frontal sinus through the upper eyelid incision as a concealed scar. MATERIAL & METHODS: From November, 2007 to December, 2010, five patients who suffered from outer table fracture of frontal sinus fracture underwent operation to correct the depressed contour of forehead. Instead of the reduction of depressed outer wall, autogenous bone was grafted trough the upper eyelid incision. The result of operation was evaluated with VAS score system(score arrange 0 to 5). VAS score was taken from patients as well as 4 plastic surgeons. RESULTS: Both patients and surgeons were satisfied about result of operation. The overall average score from plastic surgeon was 4.2. Especially to the scar of upper eyelid incision, the score was 4.7. Average score from the patients was 4.1. And there were no other complications as follow-up periods. CONCLUSION: This technique could be one of good options to correct the depression after the outer table fracture of the frontal sinus. And this technique has some benefits to overcome the disadvantage of previous introduced methods.
Key Words: Eyelids, Frontal sinus, Closed fracture, Bone transplantation


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