Technique
Maxillary frontal process fractures are quite common in nasal trauma. The traditional closed reduction technique usually fails to achieve satisfactory results. This article introduces a novel surgical technique for treating maxillary frontal process fractures, inspired by the principles of Continuous Irrigation in Endoscopic Ear Surgery. Compared to traditional closed reduction surgeries, this method is less invasive and enhances surgical efficacy, especially in complex cases with multiple fractures and interlocking bone fragments. The technique involves continuous saline irrigation during surgery, providing sustained cooling and minimizing the need for frequent lens cleaning, resulting in a smoother operation and higher success rates.
Results
The technique was successfully applied in a 6-year-old child with a right maxillary frontal process fracture due to trauma. Computed Tomography(CT) scan at 3 months postoperatively indicated that the fracture had achieved anatomic reduction, with no risk of nasal stenosis.
Conclusion
The continuous irrigation-assisted open reduction technique significantly enhances the safety and efficiency of maxillary frontal process fracture surgery by maintaining a clear field of vision throughout the procedure.
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