ABSTRACT
Frontal sinus fractures (FSFs) are a relatively uncommon maxillofacial injury, making
up only 5 to 12% of all facial fractures. Individuals sustaining FSFs often have associated
intracranial, ophthalmologic, and other maxillofacial injuries. High-resolution computed
tomography in combination with clinical findings will accurately predict the degree
of injury in the majority of instances. Exploration of the frontal sinus with reduction
alone is reserved for a small minority of very simple fractures. The majority of FSFs
should be treated with frontal sinus obliteration. Those with more extensive injuries
and the presence of a cerebrospinal fluid leak will require a frontal sinus cranialization.
Aggressive surgical management is the key to avoiding early and late complications
that can cause significant morbidity and mortality.
KEYWORDS
Frontal sinus fractures - maxillofacial injury - ophthalmic injuries