Frontal Sinus Fractures: Management and Complications

Craniomaxillofacial Trauma & Reconstruction

article

Xi Lin Jing¹  Edward Luce¹ 

[1] Department of Plastic Surgery, University of Tennessee Health Science Center

关键词: frontal sinus fracture;    complications;    management;    calvarial bone graft;   

DOI  :  10.1055/s-0038-1675560

来源: Thieme Medical Publishers, Inc.

【 摘 要 】

Frontal sinus fractures are relatively rare maxillofacial injuries (only 5–15% of all facial fractures). The appropriate management of frontal sinus fracture and associated pathology is controversial. Diagnosis and treatment of frontal sinus fractures has improved with the advances of high-resolution computed tomography technology. Treatment of frontal sinus fractures depends on several factors, including contour deformity of anterior table; the presence of CSF leak or air–fluid level in the sinus, likelihood of nasofrontal duct obstruction, and degree of displacement of posterior table. Nasofrontal duct patency should be checked if fracture pattern is highly suspicious of ductal injury. Cranialization is performed in cases of severely comminuted posterior wall fracture. Long-term complication of frontal sinus fracture can occur up to 10 years after initial injury or intervention; so, judicious long-term follow-up is warranted. This article presents the management and complications of frontal sinus fractures.

【 授权许可】

Unknown