Objective： The treatment of fronto- basilar fractures is a demanding aspect of craniofacial frac- ture management. A sequel of inadequate or improper frac- ture management presents cosmetic and functional prob- lems ...Objective： The treatment of fronto- basilar fractures is a demanding aspect of craniofacial frac- ture management. A sequel of inadequate or improper frac- ture management presents cosmetic and functional prob- lems which are very difficult to correct. The aim of this manu- script was to examine a group of growing patients treated for frontobasilar fractures and provide clinicians a possible therapeutic option for the treatment of these challenging fractures. Methods： In this investigation, 12 patients under the age of 16 years treated for severe injuries to the frontobasilar region were included. Their records were reviewed to evalu- ate the clinical diagnosis, preoperative findings, hospital course, postoperative results, and long-term follow-up. Preoperative and postoperative CT scans were performed in all children treated. Postoperative complications were re- viewed in detail. Surgical procedures were evaluated for type and location of fixation. All complications and treat- ments were recorded. Results： Three of the patients presented with a cere-brospinal fluid （CSF） leak and required pericrartial flaps. Only 3 patients underwent removal of plates and screws due to palpability in 1 patient, loose hardware in 1 patient, and limited disturbance on growth in the rest patient. Seven patients underwent open reduction and internal fixation with resorbable plates, 4 patients with titanium plates, and 1 pa- tient with a combination. Follow-up ranged from 6 months to 5 years. No patients with a preoperative CSF leak deve- loped any recurrence of the leak. Conelusion： According to basic craniofacial principles, reducing and stabilizing the fractures should reconstruct the anterior cranial base. However, the treatment ofpaediatric maxillofacial trauma requires the evaluation of several factors. The facial skeleton of a child is constantly evolving and its growth depends on the balance of basal bone and soft tissues.展开更多
文摘Objective： The treatment of fronto- basilar fractures is a demanding aspect of craniofacial frac- ture management. A sequel of inadequate or improper frac- ture management presents cosmetic and functional prob- lems which are very difficult to correct. The aim of this manu- script was to examine a group of growing patients treated for frontobasilar fractures and provide clinicians a possible therapeutic option for the treatment of these challenging fractures. Methods： In this investigation, 12 patients under the age of 16 years treated for severe injuries to the frontobasilar region were included. Their records were reviewed to evalu- ate the clinical diagnosis, preoperative findings, hospital course, postoperative results, and long-term follow-up. Preoperative and postoperative CT scans were performed in all children treated. Postoperative complications were re- viewed in detail. Surgical procedures were evaluated for type and location of fixation. All complications and treat- ments were recorded. Results： Three of the patients presented with a cere-brospinal fluid （CSF） leak and required pericrartial flaps. Only 3 patients underwent removal of plates and screws due to palpability in 1 patient, loose hardware in 1 patient, and limited disturbance on growth in the rest patient. Seven patients underwent open reduction and internal fixation with resorbable plates, 4 patients with titanium plates, and 1 pa- tient with a combination. Follow-up ranged from 6 months to 5 years. No patients with a preoperative CSF leak deve- loped any recurrence of the leak. Conelusion： According to basic craniofacial principles, reducing and stabilizing the fractures should reconstruct the anterior cranial base. However, the treatment ofpaediatric maxillofacial trauma requires the evaluation of several factors. The facial skeleton of a child is constantly evolving and its growth depends on the balance of basal bone and soft tissues.
