Contemporary Management of Frontal Sinus Fractures

Frontal sinus fractures are the result of high-energy trauma and require accurate evaluation and management to prevent long-term complications such as contour deformity, sinus dysfunction, cerebrospinal fluid leak, chronic sinusitis, and mucocele formation. This article provides a comprehensive review of frontal sinus anatomy, diagnostic protocols, and evolving treatment strategies. An anatomically based treatment algorithm is presented that focuses on sinus preservation and conservative management strategies. Advanced surgical techniques, including endoscopic sinus surgery and cranialization, are reviewed for the treatment of severe injuries.