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Frontal sinus fractures in the pediatric population
D L Wright1, H T Hoffman, D B Hoyt
1University of California, San Diego.
The Laryngoscope
|November 1, 1992
Summary
Frontal sinus fractures in pediatric patients (ages 6-19) are associated with significant head and neck injuries. This study highlights the unique clinical course and treatment considerations for these young individuals with frontal sinus fractures.
Area of Science:
- Traumatology
- Pediatric Surgery
- Neurosurgery
Background:
- Frontal sinus development completes around age 19.
- Pediatric frontal sinus fractures are underreported.
- Age may influence the clinical presentation and management of frontal sinus fractures.
Purpose of the Study:
- To evaluate frontal sinus fractures in patients under 20 years old.
- To determine if age impacts the clinical course of frontal sinus fractures.
- To compare pediatric and adult frontal sinus fracture cases.
Main Methods:
- Retrospective review of 209 frontal sinus fracture patients (1985-1990).
- Inclusion of data from six major trauma centers, including one pediatric center.
- Analysis of 40 pediatric patients (ages 6-19) and comparison with 169 adult patients.
Main Results:
- Pediatric patients (19%) sustained frontal sinus fractures with associated head/neck fractures in 93%.
- Significant central nervous system injury occurred in 55% of pediatric cases.
- 17 pediatric patients were managed nonoperatively; one died before surgery.
Conclusions:
- Pediatric frontal sinus fractures are linked to severe associated injuries.
- Age is a critical factor in the assessment and management of frontal sinus fractures.
- Further analysis is needed to compare injury extent and treatment outcomes between pediatric and adult cohorts.