Hostname: page-component-586b7cd67f-g8jcs Total loading time: 0 Render date: 2024-11-24T03:56:51.701Z Has data issue: false hasContentIssue false
  • English
  • Français

Repair of frontal sinus fractures: clinical and radiological long-term outcomes

Published online by Cambridge University Press:  21 April 2021

E E Alon ,
E Glikson ,
Y Shoshani ,
A Dobriyan ,
R Yahalom  and
A Yakirevitch
E E Alon
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Chaim Sheba Medical Center, Tel Hashomer, and Sackler School of Medicine, Tel Aviv University, Israel
E Glikson
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Chaim Sheba Medical Center, Tel Hashomer, and Sackler School of Medicine, Tel Aviv University, Israel
Y Shoshani
Affiliation:
Department of Oral and Maxillofacial Surgery, Chaim Sheba Medical Center, Tel Hashomer, and Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Israel
A Dobriyan
Affiliation:
Department of Oral and Maxillofacial Surgery, Chaim Sheba Medical Center, Tel Hashomer, and Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Israel
R Yahalom
Affiliation:
Department of Oral and Maxillofacial Surgery, Chaim Sheba Medical Center, Tel Hashomer, and Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Israel
A Yakirevitch*
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Chaim Sheba Medical Center, Tel Hashomer, and Sackler School of Medicine, Tel Aviv University, Israel
*
Author for correspondence: Dr Arkadi Yakirevitch, Department of Otolaryngology and Head and Neck Surgery, Chaim Sheba Medical Center, Tel Hashomer, 52621Israel E-mail: [email protected] Fax: +972 (3) 530 5124
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

The long-term clinical and radiological outcomes of patients surgically treated for frontal sinus fracture were assessed.

Methods

A retrospective, single-centre analysis was conducted of patients treated for frontal sinus fracture in a tertiary trauma centre between 2000 and 2017. Patients who underwent surgical repair for frontal sinus fracture followed by clinical and radiographical evaluation for at least six months were included.

Results

Of 338 patients admitted with frontal sinus fracture, 77 were treated surgically. Thirty patients met the inclusion criteria for long-term follow-up. The average follow-up duration was 37 months (range, 6–132 months). Reconstruction, obliteration and cranialisation of the frontal sinus fracture were performed in 14, 9 and 7 patients, respectively. Two patients with a reconstructed frontal sinus and one with an obliterated frontal sinus developed mucoceles. One patient developed forehead disfigurement following obliteration.

Conclusion

Long-term complications of frontal sinus repair using the chosen repair techniques are rare, but patients need to be made aware of these potential complications.

Keywords

Frontal SinusSkull FracturesMucoceleAbscessFracture Fixation
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 5 , May 2021 , pp. 448 - 451
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Dr A Yakirevitch takes responsibility for the integrity of the content of the paper

References

Gonty, AA, Marciani, RD, Adornato, DC. Management of frontal sinus fractures: a review of 33 cases. J Oral Maxillofac Surg 1999;57:372–9; discussion 380CrossRefGoogle ScholarPubMed
Koudstaal, MJ, van der Wal, KGH, Bijvoet, HWC, Vincent, AJPE, Poublon, RMI. Post-trauma mucocele formation in the frontal sinus; a rationale of follow-up. Int J Oral Maxillofac Surg 2004;33:751–4CrossRefGoogle ScholarPubMed
Fox, PM, Garza, R, Dusch, M, Hwang, PH, Girod, S. Management of frontal sinus fractures: treatment modality changes at a level I trauma center. J Craniofac Surg 2014;25:2038–42CrossRefGoogle ScholarPubMed
Chen, K-T, Chen, C-T, Mardini, S, Tsay, P-K, Chen, Y-R. Frontal sinus fractures: a treatment algorithm and assessment of outcomes based on 78 clinical cases. Plast Reconstr Surg 2006;118:457–68CrossRefGoogle ScholarPubMed
Rohrich, RJ, Hollier, L. The role of the nasofrontal duct in frontal sinus fracture management. J Craniomaxillofac Trauma 1996;2:31–40Google ScholarPubMed
Rodriguez, ED, Stanwix, MG, Nam, AJ, St Hilaire, H, Simmons, OP, Christy, MR et al. 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;122:1850–66CrossRefGoogle ScholarPubMed
Strong, EB, Pahlavan, N, Saito, D. Frontal sinus fractures: a 28-year retrospective review. Otolaryngol Head Neck Surg 2006;135:774–9CrossRefGoogle ScholarPubMed
Metzinger, SE, Metzinger, RC. Complications of frontal sinus fractures. Craniomaxillofac Trauma Reconstr 2009;2:27–34CrossRefGoogle ScholarPubMed
Grayson, JW, Jeyarajan, H, Illing, EA, Cho, D-Y, Riley, KO, Woodworth, BA. Changing the surgical dogma in frontal sinus trauma: transnasal endoscopic repair. Int Forum Allergy Rhinol 2017;7:441–9CrossRefGoogle ScholarPubMed