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Management of Frontal Sinus Injuries
R Sathyanarayanan1, K Raghu1, S Deepika1
1Department of Oral and Maxillofacial Surgery, Indira Gandhi Institute of Dental Science, Sri Balaji Vidyapeeth (Deemed to be University), Puducherry, India.
Annals of Maxillofacial Surgery
|January 30, 2019
Summary
This study reviews 15 cases of frontal sinus fractures, finding road traffic accidents common. Surgical and conservative treatments were effective, with good outcomes and no immediate reoperations needed for these anterior table fractures.
Area of Science:
- Oral and Maxillofacial Surgery
- Trauma Surgery
Background:
- Frontal sinus fractures are complex injuries requiring careful management.
- Understanding fracture patterns and surgical approaches is crucial for optimal patient outcomes.
Purpose of the Study:
- To overview fracture patterns and surgical approaches for 15 patients with frontal sinus fractures.
- To analyze treatment outcomes and complications in a cohort from Pondicherry, India.
Main Methods:
- Retrospective analysis of 15 patients diagnosed with anterior table frontal sinus fractures.
- Preoperative evaluation using computed tomography (CT) scans.
- Classification based on age, injury mechanism, associated injuries, and fracture details.
Main Results:
- Road traffic accidents were the most common cause (etiology) in patients aged 22-36.
- 11 patients had associated maxillofacial fractures; 6 were managed conservatively.
- Surgical approaches included existing lacerations and bicoronal incisions; all patients achieved good frontal bone contour without reoperation or delayed complications.
Conclusions:
- Treatment decisions for frontal sinus fractures depend on fracture severity, extent, and associated complications.
- Undisplaced fractures were observed, while anterior wall defects were surgically addressed.
- Posterior wall fractures necessitated neurosurgical consultation and tailored treatment plans.
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