Fractures of the frontal sinus

It is not possible to establish rigid guidelines for the treatment of frontal sinus fractures. However, this series demonstrates that aggressive treatment of the sinus with damage to the frontal sinus drainage system will produce a "safe" sinus. The individual surgeon must base his or her treatment philosophy on the type and severity of injuries being treated, the patient population involved, and his or her experience with each of the treatment options. All patients must be made to realize that they have a life-long risk for delayed complications following any type of reconstructive procedure on the frontal sinus. It is hoped that patients who do experience complications will seek treatment when the first symptoms of a frontal sinusitis arise, rather than allowing the infection to progress to a more severe state that is life-threatening or may require disfiguring surgery.