Related Experiment Video
Updated: Jul 19, 2026
Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
Frontal sinus fractures: a 28-year retrospective review
E Bradley Strong1, Nima Pahlavan, David Saito
1Department of Otolaryngology, University of California, Davis School of Medicine, 2521 Stockton Blvd, Ste 7200, Sacramento, CA 95817, USA.
Objectives:
To analyze 202 consecutive frontal sinus fracture (FSF) patients treated between 1974 and 2002 at the University of California, Davis.
Methods:
A retrospective chart review was performed, including all patients with frontal sinus fractures from 1987 to 2002. This and 72 previously reported patients (1974-1986) were analyzed, comparing age, gender, fracture type, associated fractures, procedure type, and complications.
Results:
Frontal sinus fractures resulting from motor vehicle accidents (MVAs) decreased from 71% to 52% (P < 0.05). Fractures from assaults increased from 9% to 21% (P < 0.05). The incidence of "through and through" fractures decreased from 40% to 11% (P < 0.05). Whereas combined anterior/posterior table fractures increased from 36% to 57% (P < 0.05).
Conclusion:
The etiology and severity of FSF has changed from 1974 to 2002. This is reflected in a reduced number of fractures resulting from MVAs as well as a reduced severity of injury. The most likely explanation is the use of safety belts and airbags.
