Endoscopic-assisted reduction of anterior table frontal sinus fractures

Jacob D. Steiger, Alexander G Chiu, David O. Francis, James N. Palmer

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

In this study, we examined salvage operations after reexploration in head and neck reconstruction and analyzed ways to solve problems. Free flap reconstruction of the head and neck lesion was carried out for 513 cases in our hospital over the past 12 years. Twenty-one cases of reexploration were caused by postoperative thrombosis (4.1%). We could only salvage seven cases (33.3%) of 21 cases from flap thrombosis. All seven cases were included in the category of venous thrombosis, and they were undertaken within 3 days postoperatively. Our results have shown that once thrombosis occurs, there is little possibility of flap salvage, particularly 3 days after operation and in infectious cases. When no flow phenomena are observed and no flap salvage is deemed possible, aggressive treatment such as a second free flap or next pedicle flap should be chosen as soon as possible to avoid any delay in postoperative treatment.

Original languageEnglish (US)
Pages (from-to)1978-1981
Number of pages4
JournalLaryngoscope
Volume116
Issue number11
DOIs
StatePublished - Nov 2006
Externally publishedYes

Fingerprint

Frontal Sinus
Thrombosis
Free Tissue Flaps
Neck
Head
Venous Thrombosis

Keywords

  • Microsurgery
  • Salvage operation
  • Vascular complication

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Endoscopic-assisted reduction of anterior table frontal sinus fractures. / Steiger, Jacob D.; Chiu, Alexander G; Francis, David O.; Palmer, James N.

In: Laryngoscope, Vol. 116, No. 11, 11.2006, p. 1978-1981.

Research output: Contribution to journalArticle

Steiger, Jacob D. ; Chiu, Alexander G ; Francis, David O. ; Palmer, James N. / Endoscopic-assisted reduction of anterior table frontal sinus fractures. In: Laryngoscope. 2006 ; Vol. 116, No. 11. pp. 1978-1981.
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