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Restoration of the Fronto-Orbital Buttress with Primary Bone Fragments / 대한신경손상학회지
Article em En | WPRIM | ID: wpr-759977
Biblioteca responsável: WPRO
ABSTRACT

OBJECTIVE:

Forehead deformities are often caused by lack of treatment or incorrect restoration of the frontal buttress, so the underlying frontal buttress should be restored to its previous position to ensure that the previous forehead contour is restored in cases of complex depressed skull fractures. However, since brain injuries from skull fractures could have fatal consequences, the clinical concern in primary surgery has been to save the patient's life, and cosmetic concerns have always been secondary. We retrospectively reviewed fronto-orbital fracture patients who underwent primary restoration with primary bone fragments or an alloplastic implant and compared the surgical outcomes of autologous bone (group 1) and artificial materials (group 2).

METHODS:

A retrospective review was conducted of 47 patients with fronto-orbital fractures between March 2012 and January 2018. The patients underwent primary reconstruction with primary bone fragments or an alloplastic implant. The surgical results were evaluated by the incidence of infection and cosmetic satisfaction of patients.

RESULTS:

Infections occurred in one patient (5%) in group 1 and in two patients (15.3%) in group 2, which was not a statistically significant difference. In contrast, at 6 months after surgery, patient satisfaction showed a statistically significant between-group difference (group 1 4.32 points, group 2 3.54 points, p=0.001).

CONCLUSION:

Primary reconstruction using fractured bone fragments is an effective and preferable method that could result in better surgical outcomes than restoration using an alloplastic implant.
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Texto completo: 1 Base de dados: WPRIM Assunto principal: Fraturas Cranianas / Anormalidades Congênitas / Lesões Encefálicas / Incidência / Estudos Retrospectivos / Satisfação do Paciente / Fratura do Crânio com Afundamento / Testa / Seio Frontal / Métodos Tipo de estudo: Incidence_studies / Observational_studies / Prognostic_studies Limite: Humans Idioma: En Revista: Korean Journal of Neurotrauma Ano de publicação: 2019 Tipo de documento: Article
Texto completo: 1 Base de dados: WPRIM Assunto principal: Fraturas Cranianas / Anormalidades Congênitas / Lesões Encefálicas / Incidência / Estudos Retrospectivos / Satisfação do Paciente / Fratura do Crânio com Afundamento / Testa / Seio Frontal / Métodos Tipo de estudo: Incidence_studies / Observational_studies / Prognostic_studies Limite: Humans Idioma: En Revista: Korean Journal of Neurotrauma Ano de publicação: 2019 Tipo de documento: Article