| Abstract: | Summary 701 cases of traumatic lesions of the facial soft tissues and facial bones were treated within 5 years at the Marburg University ENT Clinic. In 68 cases fractures of the anterior wall of the frontal sinus — often in combination with posterior wall-, rhinobasis- and other fractures were found.In all these cases, as early as possible after the trauma, in an often long time consumin procedure, the anterior wall of the frontal sinus was reconstructed immediately. Reconstruction was performed by wiring the osseus fragments using even particles down to a size of one squarecentimeter. In no case, even in cerebrospinal liquorrhoea and open brain damage, any complications — as inflammation or rejection of bone particles — have occurred. The excellent cosmetic results of this immediate reconstruction are lasting now up to 5 years.Bone scintigrams with TC 99 show that these bone particles from the desmocranium undergo a certain degree of transformation and are integrated again into the cranial bones without much resorption. |
