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Updated: May 13, 2026

08:18
Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
[Fronto-orbital correction and frontal sinus development].
M C Locher1, P E Haers, K W Grätz
1Klinik und Poliklinik für Kiefer- und Gesichtsschirurgie (Prof. Dr. Dr. med. Dr. h.c. mult. H. F. Sailer), Universitätsspital Zürich, Zürich, Deutschland.
Summary
Frontal sinus development after fronto-orbital advancement is common, occurring in 72.7% of patients. This study found no correlation with sex, age, or advancement amount, suggesting normal development is typical.
Area of Science:
- Craniofacial Surgery
- Pediatric Neurosurgery
- Radiology
Context:
- Bilateral fronto-orbital advancement is a surgical procedure used to correct craniofacial abnormalities.
- The development of the frontal sinuses post-surgery is not well understood and debated in existing literature.
- This study addresses the controversial topic of frontal sinus development after this specific surgical intervention.
Purpose:
- To investigate the radiological development of frontal sinuses after bilateral fronto-orbital advancement.
- To determine the incidence of frontal sinus development in pediatric patients.
- To explore potential correlations between sinus development and patient/surgical factors.
Summary:
- A retrospective analysis of 33 patients (15 girls, 18 boys) aged 6+ years with 1+ year follow-up was conducted.
- Radiological assessment defined frontal sinus development as pneumatization at or above the supraorbital rims on postero-anterior cephalograms.
- Frontal sinus development was observed in 72.7% of patients, with no statistically significant correlation to sex, age at surgery, or advancement amount.
Impact:
- Findings indicate that frontal sinus development is a frequent outcome following bilateral fronto-orbital advancement.
- The study suggests that normal frontal sinus development can generally be expected, barring severe conditions like Crouzon's disease.
- This research contributes to a better understanding of the long-term radiological changes in the craniofacial skeleton after reconstructive surgery.
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