Abstract

HEREDERO JUNG, S. et al. Frontal sinus fracture treatment and complications. Rev Esp Cirug Oral y Maxilofac [online]. 2007, vol.29, n.3, pp.145-153. ISSN 2173-9161.

Introduction. Frontal sinus fractures are caused by high velocity impacts. Inappropriate treatment can lead to serious complications, even many years after the trauma. Objectives. To evaluate epidemiological data and associated complications. To standardize the treatment protocol. Materials and methods. the clinical records of 95 patients with frontal sinus fractures treated between January 1990 and December 2004 at the Oral and Maxillofacial Surgery Department, "12 de Octubre" Hospital (Madrid, Spain), were reviewed. Results. The average age of patients with frontal sinus fractures was 34 years. Most of them were male (78%) and the most frequent mode of injury was motor vehicle accident. The commonest frontal sinus fracture pattern was the outer table fracture. The complications described were: cosmetic deformation, frontal sinusitis, frontal mucocele, orbital cellulitis, intolerance of osteosynthesis material, meningitis and persistent CSF leak. Conclusions. Treatment of frontal sinus fractures must be tailored for each individual patient. Its aim should be to reduce associated complications, which may need a long-term follow-up to be detected.

Keywords : Frontal sinus fractures; Obliteration; Cranialization; Subcranial approach.

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