Frontal sinus fractures

Frontal sinus fractures can have serious consequences due to the proximity of the sinus to the intracranial cavity, and the potential for nasofrontal duct obstruction with its long-term sequelae. Management of these fractures varies dependent on several factors. These include the degree of displacement of the fractures; involvement of the anterior table, the posterior table, and/or the nasofrontal duct; and the presence of cerebrospinal fluid leakage. This paper gives an overview of fracture treatment options, and offers a simple algorithm for management based on the fracture severity and involvement of the different aspects of the sinus.