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Locher, M C; Sailer, H F; Haers, P E; Carls, F R; Oechslin, C K; Grätz, K W (1998). Development of the frontal sinus following bilateral fronto-orbital osteotomies. Journal of Cranio-Maxillofacial Surgery, 26(3):129-135.

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Abstract

The presence of frontal sinuses following bilateral fronto-orbital advancement is discussed controversially in the literature. In a retrospective study, 33 patients (18 male and 15 female) were operated on between 1982 and 1993, with at least one year postoperative follow-up and with a minimum age of 6 years at the end of the follow-up period following bilateral fronto-orbital remodelling, were included. The average age at which the procedure was performed was 29 months with a minimum of 3 months and a maximum of 7.8 years. The study presented shows a pneumatization of the frontal sinus in 72.7% of 33 patients following bilateral fronto-orbital advancement. The first radiographic signs of sinus development were detected between the ages of 4 and 11, average 8.3 years. There were no statistically proven correlations between frontal sinus pneumatization and age at operation or the amount of advancement or sex of the patients. Surgical enlargement of the cranium by frontal advancement with adequate stabilization results in an enlargement of the neurocranium, thereby decreasing pressure on the inner frontal cortex and allowing frontal sinus pneumatization to proceed normally. Hence, the development of a frontal sinus may be a reflection of the effectiveness of the surgical therapy.

Item Type:Journal Article, refereed
Communities & Collections:04 Faculty of Medicine > Center for Dental Medicine > Clinic for Cranio-Maxillofacial Surgery
DDC:610 Medicine & health
Language:English
Date:01 June 1998
Deposited On:11 Feb 2008 13:23
Last Modified:27 Nov 2013 17:34
Publisher:Elsevier
ISSN:1010-5182
Publisher DOI:10.1016/S1010-5182(98)80001-2
PubMed ID:9702629
Citations:Web of Science®. Times Cited: 5
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