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KMID : 0358819950220030509
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1995 Volume.22 No. 3 p.509 ~ p.516
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PERICRANIAL FLAP AND REVERSE TEMPORALIS MUSCLE FLAP IN TREATMENT OF FRONTAL SINUS FRACTURE
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이영수/Lee, Young Soo
이정훈/이영섭/김용욱/Lee, Chung Hoon/Lee, Young Seob/Kim, Yong Oock
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Abstract
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Frontal sinus fracture associated with cerebrospinal fluid rhinorrhea often neccessitates definitive treatment to prevent grave complications such as mucocele, mucopyocele, brain abscess, and other life-threatening ascending infection of intracranium. The treatment should comprise ablation of frontal sinus, obliteration of dead space and existing intracranialnasopharyngeal communication, and restoration of bony barrier for protection of intracranial-nasopharyngeal communication is the most crucial aspect of the treatment because serious ascending intracranial infection such as intracranial abscess or meningitis is a frequent outcome. In 7 patients with frontal sinus fracture, the authors used pericranial flap or reverse temporalis muscle flap based on the superficial temporal vessels to obliterate the dead space and existing intracranial-nasopharyngeal communication after the ablation of frontal sinus and cranialization of posterior wall of frontal sinus. The patients were followed for 4-20 months, and both pericranial and reverse temporalis muscle flaps were effective to prevent the complications of frontal sinus fracture.
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KEYWORD
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