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Frontal Sinus Fractures

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The Frontal Sinus

Abstract

Frontal sinus fracture mismanagement can lead to significant morbidity and can be life threatening. Treatment paradigms for frontal sinus fractures are continuing to evolve. Past surgical modalities that removed the anterior bony frontal surface resulted in life-long disfiguring defects and have been replaced with the advent of modern endoscopic sinus surgery and imaging techniques. New treatment paradigms for the management of frontal sinus trauma reflect these advances.

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Abbreviations

CSF:

Cerebral spinal fluid

CT:

Computed tomography

FSDP:

Frontal sinus drainage pathway

NOE:

Naso-orbital-ethmoid

ORIF:

Open reduction internal fixation

References

  1. McLaughlin Jr RB. History of surgical approaches to the frontal sinus. Otolaryngol Clin North Am. 2001;34(1):49–58.

    Article  PubMed  Google Scholar 

  2. Gerbino G, Roccia F, Benech A, Caldarelli C. Analysis of 158 frontal sinus fractures: current surgical management and complications. J Craniomaxillofac Surg. 2000;28(3):133–9.

    Article  CAS  PubMed  Google Scholar 

  3. Islamoglu K, Coskunfirat OK, Tetik G, Ozgentas HE. Complications and removal rates of miniplates and screws used for maxillofacial fractures. Ann Plast Surg. 2002;48(3):265–8.

    Article  PubMed  Google Scholar 

  4. Manolidis S, Hollier Jr LH. Management of frontal sinus fractures. Plast Reconstr Surg. 2007;120(7 Suppl 2):32S–48.

    Article  CAS  PubMed  Google Scholar 

  5. May M, Ogura JH, Schramm V. Nasofrontal duct in frontal sinus fractures. Arch Otolaryngol. 1970;92(6):534–8.

    Article  CAS  PubMed  Google Scholar 

  6. McGraw-Wall B. Frontal sinus fractures. Facial Plast Surg. 1998;14(1):59–66.

    Article  CAS  PubMed  Google Scholar 

  7. 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(6):1850–66.

    Article  CAS  PubMed  Google Scholar 

  8. Tiwari P, Higuera S, Thornton J, Hollier LH. The management of frontal sinus fractures. J Oral Maxillofac Surg. 2005;63(9):1354–60.

    Article  PubMed  Google Scholar 

  9. Rohrich RJ, Hollier LH. Management of frontal sinus fractures. Changing concepts. Clin Plast Surg. 1992;19(1):219–32.

    CAS  PubMed  Google Scholar 

  10. Rice DH. Management of frontal sinus fractures. Curr Opin Otolaryngol Head Neck Surg. 2004;12(1):46–8.

    Article  PubMed  Google Scholar 

  11. Stanwix MG, Nam AJ, Manson PN, Mirvis S, Rodriguez ED. Critical computed tomographic diagnostic criteria for frontal sinus fractures. J Oral Maxillofac Surg. 2010;68(11):2714–22.

    Article  PubMed  Google Scholar 

  12. Nahum AM. The biomechanics of maxillofacial trauma. Clin Plast Surg. 1975;2(1):59–64.

    CAS  PubMed  Google Scholar 

  13. Levine SB, Rowe LD, Keane WM, Atkins Jr JP. Evaluation and treatment of frontal sinus fractures. Otolaryngol Head Neck Surg. 1986;95(1):19–22.

    Article  CAS  PubMed  Google Scholar 

  14. Strong EB, Pahlavan N, Saito D. Frontal sinus fractures: a 28-year retrospective review. Otolaryngol Head Neck Surg. 2006;135(5):774–9.

    Article  PubMed  Google Scholar 

  15. 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;118(2):457–68.

    Article  CAS  PubMed  Google Scholar 

  16. Gonty AA, Marciani RD, Adornato DC. Management of frontal sinus fractures: a review of 33 cases. J Oral Maxillofac Surg. 1999;57(4):372–9; 80–1.

    Article  CAS  PubMed  Google Scholar 

  17. Harris L, Marano GD, McCorkle D. Nasofrontal duct: CT in frontal sinus trauma. Radiology. 1987;165(1):195–8.

    Article  CAS  PubMed  Google Scholar 

  18. Kim KS, Kim HU, Chung IH, Lee JG, Park IY, Yoon JH. Surgical anatomy of the nasofrontal duct: anatomical and computed tomographic analysis. Laryngoscope. 2001;111(4 Pt 1):603–8.

    Article  CAS  PubMed  Google Scholar 

  19. Kanowitz SJ, Shatzkes DR, Pramanik BK, Babb JS, Jacobs JB, Lebowitz RA. Utility of sagittal reformatted computerized tomographic images in the evaluation of the frontal sinus outflow tract. Am J Rhinol. 2005;19(2):159–65.

    PubMed  Google Scholar 

  20. Jain SA, Manchio JV, Weinzweig J. Role of the sagittal view of computed tomography in evaluation of the nasofrontal ducts in frontal sinus fractures. J Craniofac Surg. 2010;21(6):1670–3.

    Article  PubMed  Google Scholar 

  21. Hilger AW, Ingels K, Joosten F. Sagittal computerized tomography reconstruction of the lateral nasal wall for functional endoscopic sinus surgery. Clin Otolaryngol Allied Sci. 1999;24(6):527–30.

    Article  CAS  PubMed  Google Scholar 

  22. Saigal K, Winokur RS, Finden S, Taub D, Pribitkin E. Use of three-dimensional computerized tomography reconstruction in complex facial trauma. Facial Plast Surg. 2005;21(3):214–20.

    Article  CAS  PubMed  Google Scholar 

  23. Meco C, Oberascher G, Arrer E, Moser G, Albegger K. Beta-trace protein test: new guidelines for the reliable diagnosis of cerebrospinal fluid fistula. Otolaryngol Head Neck Surg. 2003;129(5):508–17.

    Article  PubMed  Google Scholar 

  24. Smith TL, Han JK, Loehrl TA, Rhee JS. Endoscopic management of the frontal recess in frontal sinus fractures: a shift in the paradigm? Laryngoscope. 2002;112(5):784–90.

    Article  PubMed  Google Scholar 

  25. Strong EB, Kellman RM. Endoscopic repair of anterior table–frontal sinus fractures. Facial Plast Surg Clin North Am. 2006;14(1):25–9.

    Article  PubMed  Google Scholar 

  26. Draf W. Endonasal micro-endoscopic frontal sinus surgery: the Fulda concept. Op Technol Otolaryngol Head Neck Surg. 1991;2:234–40.

    Article  Google Scholar 

  27. Nadell J, Kline DG. Primary reconstruction of depressed frontal skull fractures including those involving the sinus, orbit, and cribriform plate. J Neurosurg. 1974;41(2):200–7.

    Article  CAS  PubMed  Google Scholar 

  28. Strong EB, Buchalter GM, Moulthrop TH. Endoscopic repair of isolated anterior table frontal sinus fractures. Arch Facial Plast Surg. 2003;5(6):514–21.

    Article  PubMed  Google Scholar 

  29. Chen DJ, Chen CT, Chen YR, Feng GM. Endoscopically assisted repair of frontal sinus fracture. J Trauma. 2003;55(2):378–82.

    Article  PubMed  Google Scholar 

  30. Onishi K, Osaki M, Maruyama Y. Endoscopic osteosynthesis for frontal bone fracture. Ann Plast Surg. 1998;40(6):650–4.

    Article  CAS  PubMed  Google Scholar 

  31. Duvall 3rd AJ, Porto DP, Lyons D, Boies Jr LR. Frontal sinus fractures. Analysis of treatment results. Arch Otolaryngol Head Neck Surg. 1987;113(9):933–5.

    Article  PubMed  Google Scholar 

  32. Newman MH, Travis LW. Frontal sinus fractures. Laryngoscope. 1973;83(8):1281–92.

    Article  CAS  PubMed  Google Scholar 

  33. Goodale RL, Montgomery WW. Technical advances in osteoplastic frontal sinusectomy. Arch Otolaryngol. 1964;79:522–9.

    Article  CAS  PubMed  Google Scholar 

  34. Donald PJ. Frontal sinus and nasofrontoethmoidal complex fractures: a self-instructional package. American association of otolaryngology – head and neck surgery committee on continuing education. 1980.

    Google Scholar 

  35. Hybels RL, Newman MH. Posterior table fractures of the frontal sinus: I. An experimental study. Laryngoscope. 1977;87(2):171–9.

    Article  CAS  PubMed  Google Scholar 

  36. Luce EA. Frontal sinus fractures: guidelines to management. Plast Reconstr Surg. 1987;80(4):500–10.

    Article  CAS  PubMed  Google Scholar 

  37. Shumrick KA, Smith CP. The use of cancellous bone for frontal sinus obliteration and reconstruction of frontal bony defects. Arch Otolaryngol Head Neck Surg. 1994;120(9):1003–9.

    Article  CAS  PubMed  Google Scholar 

  38. Koudstaal MJ, van der Wal KG, Bijvoet HW, Vincent AJ, Poublon RM. Post- trauma mucocele formation in the frontal sinus; a rationale of follow-up. Int J Oral Maxillofac Surg. 2004;33(8):751–4.

    Article  CAS  PubMed  Google Scholar 

  39. Wallis A, Donald PJ. Frontal sinus fractures: a review of 72 cases. Laryngoscope. 1988;98(6 Pt 1):593–8.

    CAS  PubMed  Google Scholar 

  40. Sivori 2nd LA, de Leeuw R, Morgan I, Cunningham Jr LL. Complications of frontal sinus fractures with emphasis on chronic craniofacial pain and its treatment: a review of 43 cases. J Oral Maxillofac Surg. 2010;68(9):2041–6.

    Article  PubMed  Google Scholar 

  41. Correa AJ, Duncavage JA, Fortune DS, Reinisch L. Osteoplastic flap for obliteration of the frontal sinus: five years’ experience. Otolaryngol Head Neck Surg. 1999;121(6):731–5.

    Article  CAS  PubMed  Google Scholar 

  42. Mendians AE, Marks SC. Outcome of frontal sinus obliteration. Laryngoscope. 1999;109(9):1495–8.

    Article  CAS  PubMed  Google Scholar 

  43. El Khatib K, Danino A, Malka G. The frontal sinus: a culprit or a victim? A review of 40 cases. J Craniomaxillofac Surg. 2004;32(5):314–7.

    Article  PubMed  Google Scholar 

  44. Shockley WW, Stucker Jr FJ, Gage-White L, Antony SO. Frontal sinus fractures: some problems and some solutions. Laryngoscope. 1988;98(1):18–22.

    Article  CAS  PubMed  Google Scholar 

  45. Stanley Jr RB. Management of frontal sinus fractures. Facial Plast Surg. 1988;5(3):231–5.

    Article  PubMed  Google Scholar 

  46. Donald PJ. Frontal sinus ablation by cranialization. Report of 21 cases. Arch Otolaryngol. 1982;108(3):142–6.

    Article  CAS  PubMed  Google Scholar 

  47. Donald PJ, Bernstein L. Compound frontal sinus injuries with intracranial penetration. Laryngoscope. 1978;88(2 Pt 1):225–32.

    Article  CAS  PubMed  Google Scholar 

  48. Manolidis S. Frontal sinus injuries: associated injuries and surgical management of 93 patients. J Oral Maxillofac Surg. 2004;62(7):882–91.

    Article  PubMed  Google Scholar 

  49. Swinson BD, Jerjes W, Thompson G. Current practice in the management of frontal sinus fractures. J Laryngol Otol. 2004;118(12):927–32.

    Article  CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Division of Otolaryngology, Department of Surgery, Salt Lake City, UT, 84132, USA

    Jeremiah A. Alt MD, PhD (Assistant Professor)

  2. Albany ENT and Allergy, Albany, NY, USA

    Robert T. Adelson MD

  3. Division of Rhinology and Sinus Surgery, Department of Otolaryngology, Oregon Health Science University, Portland, OR, USA

    Timothy L. Smith MD, MPH

Authors
  1. Jeremiah A. Alt MD, PhD
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  2. Robert T. Adelson MD
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  3. Timothy L. Smith MD, MPH
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Corresponding author

Correspondence to Timothy L. Smith MD, MPH .

Editor information

Editors and Affiliations

  1. Department of Otolaryngology - Head and Neck Surgery, Medical College of Georgia, Augusta University, Augusta, Georgia, USA

    Stilianos E. Kountakis

  2. Chapel Hill, North Carolina, USA

    Brent A. Senior

  3. Fulda, Hessen, Germany

    Wolfgang Draf

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Alt, J.A., Adelson, R.T., Smith, T.L. (2016). Frontal Sinus Fractures. In: Kountakis, S., Senior, B., Draf, W. (eds) The Frontal Sinus. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48523-1_33

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  • DOI: https://doi.org/10.1007/978-3-662-48523-1_33

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-48521-7

  • Online ISBN: 978-3-662-48523-1

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