Frontal sinus injuries: analysis of 22 fractures treated at the Mutual Security Hospital

Purpose: The aim of this study was to evaluate the epidemiological, clinical and therapeutic approach of 22 frontal sinus fractures treated at the Mutual Security Hospital, and compare the data with other studies published in the last years.

Patients and methods: We performed a retrospective review of frontal sinus fractures treated in the Mutual Security Hospital for a period of two years. Information about the etiology, type of frontal fracture, Glasgow income, presence of maxillofacial fractures and associated injuries, type of treatment and the presence of TEC was obtained. The complications and sequelae are also analyzed. The data collected were processed with the statistical program Systat.

Results: The average age of patients was 37.1 years. The most common cause of fracture were falls (36%) and the most common fracture pattern was the one that affects only the anterior wall of the frontal sinus (73%). An 84.22% of patients had associated maxillofacial fractures being the most prevalent the Orbitozygomatomaxillary fractures (17, 5%). 72.7% of patients with frontal trauma present TEC.

Conclusions: Frontal sinus fractures are associated in a large percentage of neurological damage and maxillofacial fractures. The main goal of treatment is to restore the functionality of the sinus, in addition to restoring the appearance and prevent complications in the short and long term. The type of treatment should be individualized according to each case and must be based on a detailed clinical and radiographic examination.

Conflict of interest: None declared.

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Jan 27, 2018 | Posted by in Oral and Maxillofacial Surgery | Comments Off on Frontal sinus injuries: analysis of 22 fractures treated at the Mutual Security Hospital
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