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Background:Large defects of the anterior wall of the frontal sinus require closure using either autologous or foreign material. In cases of osteomyelitis, the reconstruction must be resistant to bacterial infection. Split-rib osteoplasty can be used in different sites.Methods:Two patients with malignant sinonasal tumours underwent repeated treatment, and subsequently developed osteomyelitis of the frontal bone. After adequate therapy, a large defect of the anterior wall persisted. Reconstruction was performed using the split-rib method. The literature on this topic was reviewed.Results:Both patients' treatment were successful. No complications occurred. A PubMed search on the topic of rib reconstruction of the frontal sinus and skull was performed; 18 publications matched the inclusion criteria. From these sources, we noted that 182 reconstructions yielded good results with few complications.Conclusion:Large defects of the anterior wall of the frontal sinus can be closed successfully using autologous split-rib grafting. Aesthetic outcome is good and donor site morbidity is minimal.
|Item Type:||Journal Article, refereed, original work|
|Communities & Collections:||04 Faculty of Medicine > University Hospital Zurich > Division of Surgical Research|
04 Faculty of Medicine > University Hospital Zurich > Clinic for Otorhinolaryngology
04 Faculty of Medicine > University Hospital Zurich > Clinic for Reconstructive Surgery
|DDC:||610 Medicine & health|
|Deposited On:||14 Dec 2011 11:04|
|Last Modified:||23 Nov 2012 13:51|
|Publisher:||Cambridge University Press|
|Free access at:||Official URL. An embargo period may apply.|
|Related URLs:||http://journals.cambridge.org/download.php?file=%2FJLO%2FJLO125_12%2FS0022215111002611a.pdf&code=72edd39cc17c57a31e3a1a9fe14560df (Publisher)|
|WoS Citation Count:||0|
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