Indications and treatment of frontal sinus fractures

Frontal sinus fractures are relatively rare, representing about 2–15% of facial fractures. Fractures of the frontal sinus occur as a result of high energy impacts, as is a common observation in patients with polytrauma and multiple facial fractures. The objectives in the surgical treatment are to restore function and aesthetic as well as to prevent complications.

In this poster, we review a group of 10 patients, aged between 25 and 32, with the diagnosis of frontal sinus fractures. Etiology was facial trauma after assault in all cases. All patients were treated surgically. Coronal approach was performed in the 10 cases. Fixation of the anterior frontal sinus wall was performed with osteosynthesis microplates in eight cases while sinus cranialization with repair of the dura was performed in the remaining two cases.

All patients had good postoperative evolution without complications. Postoperative follow-up showed satisfactory aesthetic and functional results both clinically and radiologically.

In conclusion, in case of frontal sinus fractures an accurate preoperative clinical and radiological assessment with an adequate surgical planning lead to satisfactory functional and aesthetic results.

Conflict of interest: None declared.

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Feb 5, 2018 | Posted by in Oral and Maxillofacial Surgery | Comments Off on Indications and treatment of frontal sinus fractures
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