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Management of Frontal Sinus Trauma

  • Mohamad Raafat Chaaban
  • Bradford A. Woodworth
Chapter

Abstract

The frontal bone is the strongest of the maxillofacial skeleton, and fractures involving the frontal sinus are relatively uncommon. Frontal sinus fractures are usually the result of high-speed motor vehicle accidents or assault. Management of these fractures is still controversial with regard to the timing, indications for surgical repair, surgical approach, and postoperative care. Complications include soft tissue, musculoskeletal, sinonasal, ophthalmological, and neurological.

Traditional management includes observation for nondisplaced anterior table fractures, open reduction/internal fixation for displaced anterior table fractures, and osteoplastic flap with obliteration or cranialization for posterior table fractures. However, there is mounting evidence that both anterior and posterior table fractures can be managed using transnasal endoscopic techniques in select cases with long-term success and maintenance of the frontal sinus drainage pathway.

Keywords

Frontal sinus Frontal sinus trauma Maxillofacial fractures Sinus obliteration Frontal sinus fracture Posterior table fracture Anterior table fracture Cranialization Endoscopic skull base surgery Cerebrospinal fluid leak CSF leak CSF rhinorrhea Osteoplastic flap 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Mohamad Raafat Chaaban
    • 1
  • Bradford A. Woodworth
    • 2
  1. 1.Department of OtolaryngologyUniversity of Texas Medical BranchGalvestonUSA
  2. 2.Department of OtolaryngologyUniversity of Alabama at Birmingham, Gregory Fleming James Cystic Fibrosis Research CenterBirminghamUSA

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