Frontal sinus fractures: guidelines to management.

Abstract:

:The appropriate management of frontal sinus fractures is controversial. Experience with 78 frontal sinus fractures over a 9-year period was reviewed, and the fractures were classified into anterior wall, anterobasilar, and frontal skull fracture extensions. The presence of a concomitant CSF leak or an air-fluid level in the sinus was a diagnostic clue of posterior wall involvement. Ablation or obliteration of the fractured frontal sinus is not necessary. Primary reconstruction of the sinus and nasofrontal duct drainage constitute the preferred treatment. "Cranialization" of a severely damaged sinus is performed by excision of the posterior wall plugging of the nasofrontal duct and reconstruction of the anterior wall. Reconstruction of the anterior wall with primary bone grafting may be necessary in selected patients.

journal_name

Plast Reconstr Surg

authors

Luce EA

doi

10.1097/00006534-198710000-00003

subject

Has Abstract

pub_date

1987-10-01 00:00:00

pages

500-10

issue

4

eissn

0032-1052

issn

1529-4242

journal_volume

80

pub_type

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