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- Title
Relationship between midfacial fractures and maxillary sinus pathology.
- Authors
Dong Wan Kim; Soo Hyuk Lee; Jun Ho Choi; Jae Ha Hwang; Kwang Seog Kim; Sam Yong Lee
- Abstract
Background: Midfacial fractures frequently involve the maxillary sinus, leading to maxillary sinus pathology. We aimed to examine the incidence and contributing factors of maxillary sinus pathology in patients who underwent open reduction and internal fixation (ORIF) for midfacial fractures. Methods: A retrospective analysis was conducted on patients who underwent ORIF for midfacial fractures at our department over the past 10 years. The incidence of maxillary sinus pathology was identified clinically and/or by computed tomography findings. Factors that significantly influenced the groups with and without maxillary sinus pathology were examined. Results: The incidence of maxillary sinus pathology in patients who underwent ORIF for midfacial fractures was found to be 11.27%, with sinusitis being the most common pathology. Maxillary sinus pathology was significantly associated with the presence of a blowout fracture involving both the medial and the inferior orbital walls. Factors such as sex, age, diabetes mellitus, hypertension, smoking, inflammatory disease, follow-up period, use of absorbable plates, and use of titanium plates did not have a significant impact on the development of maxillary sinus pathology. Conclusion: The incidence of maxillary sinus pathology in patients who underwent ORIF for midfacial fractures was relatively low, and in most cases, it resolved without the need for specific treatment. Consequently, there may not be a significant need for concern regarding postoperative maxillary sinus pathology.
- Subjects
MAXILLARY sinus; FACIAL bones; PARANASAL sinuses
- Publication
Archives of Craniofacial Surgery, 2023, Vol 24, Issue 3, p117
- ISSN
2287-1152
- Publication type
Article
- DOI
10.7181/acfs.2023.00283