Frontal_Sinus_Fracture_Case_Series_Presentation.pptx

frontal sinus fracture

1. Introduction 5-15% of all maxillofacial injuries. Often associated with intracranial, ophthalmological or maxillofacial injuries. Isolated anterior table #-25% Both anterior and posterior table #- 2/3rd Isolated posterior table #-1-5% Ref. Jeyaraj P. Frontal Bone Fractures and Frontal Sinus Injuries: Treatment Paradigms. Ann Maxillofac Surg. 2019 Jul-Dec;9(2):261-282. doi : 10.4103/ams.ams_151_19. PMID: 31909005; PMCID: PMC6933972.

2. Forehead laceration: hallmark sign Frontal depression Periorbital edema & ecchymosis CSF rhinorrhea CLINICAL FEATURES

3. Classification Gonty et al. Classification: - Type 1: Anterior wall - Type 2: Anterior + posterior wall - Type 3: Posterior wall only - Type 4: Severe comminution El-Anwar & Elaaser Classification: Emphasizes FSOT patency and dural involvement Management guided by displacement, FSOT status, and CSF leak El‑Anwar MW, Elaaser AS. Frontal sinus fracture classifications: a review of literature and presenting a new classification. Pan Arab J. Rhinol . 2020; 10 : 89-93.

4. MANAGEMENT Conservative management and observation Open reduction and internal fixation Sinus obliteration Cranialization Ref. Rodriguez ED, Stanwix MG, Nam AJ, St Hilaire H, Simmons OP, Christy MR, Grant MP, Manson PN. Twenty-six-year experience treating frontal sinus fractures: a novel algorithm based on anatomical fracture pattern and failure of conventional techniques. Plast Reconstr Surg . 2008 Dec;122 (6):1850-1866. doi : 10.1097/PRS.0b013e31818d58ba. PMID: 19050539.

5. CASE- 1

6. CASE- 2

7. CASE- 3

8. Conclusion Severely displaced or comminuted frontal sinus fractures, especially with CSF leak or NFOT injury, are best managed with sinus obliteration or cranialization.

9. Jeyaraj P. Frontal Bone Fractures and Frontal Sinus Injuries: Treatment Paradigms. Ann Maxillofac Surg. 2019 Jul-Dec;9(2):261-282. doi : 10.4103/ams.ams_151_19. PMID: 31909005; PMCID: PMC6933972. Rodriguez ED, Stanwix MG, Nam AJ, St Hilaire H, Simmons OP, Christy MR, Grant MP, Manson PN. Twenty-six-year experience treating frontal sinus fractures: a novel algorithm based on anatomical fracture pattern and failure of conventional techniques. Plast Reconstr Surg. 2008 Dec;122(6):1850-1866. doi : 10.1097/PRS.0b013e31818d58ba. PMID: 19050539. Al-Shami H, Alnemare AK, Mahfoz TB, Salah AM. Traumatic Frontal Sinus Fractures Management: Experience from High-Trauma Centre. Korean J Neurotrauma. 2021 Mar 18;17(1):15-24. doi : 10.13004/kjnt.2021.17.e3. PMID: 33981639; PMCID: PMC8093022.k Archer JB, Sun H, Bonney PA, Zhao YD, Hiebert JC, Sanclement JA, Little AS, Sughrue ME, Theodore N, James J, Safavi-Abbasi S. Extensive traumatic anterior skull base fractures with cerebrospinal fluid leak: classification and repair techniques using combined vascularized tissue flaps. J Neurosurg . 2016 Mar;124(3):647-56. doi : 10.3171/2015.4.JNS1528. Epub 2015 Oct 16. PMID: 26473788. Chen KT, Chen CT, Mardini S, Tsay PK, Chen YR. Frontal sinus fractures: a treatment algorithm and assessment of outcomes based on 78 clinical cases. Plast Reconstr Surg. 2006 Aug;118(2):457-68. doi : 10.1097/01.prs.0000227738.42077.2d. PMID: 16874218. El‑Anwar MW, Elaaser AS. Frontal sinus fracture classifications: a review of literature and presenting a new classification. Pan Arab J. Rhinol . 2020; 10 : 89-93. REFERENCES