Survey of Current Practice Patterns in the Management of Frontal Sinus Fractures.
Journal Article (Journal Article)
The management of frontal sinus fractures has evolved in the endoscopic era. The development of functional endoscopic sinus surgery (FESS) has been incorporated into management algorithms proposed by otolaryngologists, but the extent of its influence on plastic surgeons and oral and maxillofacial surgeons is heretofore unknown. A cross-sectional survey was performed to assess the practice pattern variations in frontal sinus fracture management across multiple surgical disciplines. A total of 298 surveys were reviewed. 33.5% were facial plastic surgeons with otolaryngology training, 25.8% general otolaryngologists, 25.5% plastic surgeons, and 15.1% oral and maxillofacial surgeons. 74.8% of respondents practiced in an academic setting. 61.7% felt endoscopic sinus surgery changed their management of frontal sinus fractures. 91.8% of respondents favored observation for uncomplicated, nondisplaced frontal sinus outflow tract fractures. 36.4% favored observation and 35.9% favored endoscopic sinus surgery for uncomplicated, displaced frontal sinus outflow tract fractures. For complicated, displaced frontal sinus outflow tract fractures, obliteration was more frequently favored by plastic surgeons and oral and maxillofacial surgeons than those with otolaryngology training. The utility of FESS in managing frontal sinus fractures appears to be recognized across multiple surgical disciplines.
Full Text
Duke Authors
Cited Authors
- Choi, KJ; Chang, B; Woodard, CR; Powers, DB; Marcus, JR; Puscas, L
Published Date
- June 2017
Published In
Volume / Issue
- 10 / 2
Start / End Page
- 106 - 116
PubMed ID
- 28523084
Pubmed Central ID
- PMC5435490
International Standard Serial Number (ISSN)
- 1943-3875
Digital Object Identifier (DOI)
- 10.1055/s-0037-1599196
Language
- eng
Conference Location
- United States