额窦骨折及其治疗  

Management of frontal sinus fractures

作　　者：安金刚[1] 张益[1] 

机构地区：[1]北京大学口腔医学院口腔颌面外科,北京100081

出　　处：《中国实用口腔科杂志》2010年第4期213-216,共4页Chinese Journal of Practical Stomatology

摘　　要：额窦位于颅面交界区,额窦骨折也处在多个临床学科的交叉点上。多年来,在额窦骨折治疗手段和治疗思路方面存在分歧和争议,主要集中在是继续保存额窦的解剖和功能,还是对其进行填塞或颅腔化处理。目前,对额窦骨折的治疗已经基本达成共识,即要依据额窦前、后壁以及鼻额管损伤程度来选择治疗方案。治疗方案主要有:保守治疗、骨折复位固定、额窦填塞以及额窦颅腔化。功能性内窥镜外科使得最大限度地保存额窦解剖和功能成为可能。本文从额窦骨折的解剖基础、临床表现及合并损伤、分类、影像学诊断、治疗、并发症、内窥镜技术的应用等方面加以综述,力图全面反映额窦骨折及其治疗的现状。The frontal sinus is located at the junction of the cranial cavity and face,and frontal sinus fractures are also at the intersection of several clinical disciplines. There have been great controversy on the management of frontal sinus fractures for a long time,mainly focusing on saving the frontal sinus anatomy and function or on obliterate and cranializing the frontal sinus. Currently,how to treat frontal sinus fractures has reached general consensus,based primarily on the status of the anterior wall,posterior wall and nasofrontal duct. The treatment options include conservative treatment,reduction and fixation of the fractures,frontal sinus obliteration and cranialization. Functional Endoscopic surgery makes it possible to preserve the sinus anatomy and function maximally. This article reviewed the etiology,anatomy,clinical manifestations and associated injuries,classification,imaging diagnosis,treatment,complications and the application of endoscopic technique to frontal sinus fractures,trying to fully reflect the status of this topic.

关 键 词：额窦骨折 治疗 

分 类 号：R78[医药卫生—口腔医学]