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KMID : 1001920040350010091
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Journal of Korean Neurosurgical Society
2004 Volume.35 No. 1 p.91 ~ p.94
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Usefulness of Frontal Sinus Reconstruction Using Polymethyl-methacrylate
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Seong Joo-Young
Park Ik-Seong
Jang Hoon
Han Jung-Hoon
Baik Min-Woo
Kim Moon-Chan
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Abstract
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Objective : Many methods for preventing central nervous system infection and cerebrospinal fluid leakage through opened frontal sinus have been reported. Nevertherless, the most effective procedure was not confirmed yet. The aim of this study is to test the efficacy of a simple technique of frontal sinus obliteration ;using polymethylmethacrylate(PMMA) cement instead of more traditional methods such as pericranial flap, free muscle or fat graft and lumbar drainage.
Methods :Twenty three patients whose frontal sinus were opened during frontal craniotomy or due to trauma underwent frontal sinus obliteration procedure using PMMA bone cement. No other adjuncts for prevention of cerebrospinal fluid leakage through the sinus were used. Demographics, indications for frontal sinus obliteration, immediate and late complications, and long term outcomes were investigated. These results were compared with those in the current literatures.
Results :During follow-up of 18 months, there were no cerebrospinal fluid leaks, infection, resorption, cosmetic deformity, and morbidity of donor site
Conclusion :Polymethyl-methacrylate bone cement seems be a simple and effective method for frontal sinus obliteration and prevention of cerebrospinal fluid leakage.
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KEYWORD
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Cerebrospinal fluid leak, Frontal sinus, Polymethyl-methacrylate, Infection
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