[Surgical tactics in fractures of frontal bone involving frontal sinus]

Review of literature dealing with fractures of frontal bone involving frontal sinus is presented. 3 cases of successful surgical treatment of different frontal sinus injuries are reported in the paper. The author demonstrates importance of selection of correct surgical tactics for primary reconstruction of frontal bone using craniofacial osteosynthesis. The key moment of surgical procedure is making a decision about preservation or elimination (obliteration or cranialization) of the frontal sinus which should be based on meticulous analysis of symptoms and CT data preoperatively and intraoperatively. Special attention should be paid to application of pericranial flap for closure of fractured posterior wall of the frontal sinus. Original technique of using a split pericranial pedicled flap for isolation of dura from sinus and stimulation of reparative osteogenesis is described.