Frontal sinus fracture represents 5 to 12% of all maxillofacial fractures. The management of frontal sinus fractures has changed over the past two decades.
A new article published online by JAMA Facial Plastic Surgery
describes the experience with a minimally disruptive treatment protocol for frontal sinus fractures.
‘With improved diagnostic surveillance and minimally invasive techniques, treatment of frontal sinus fractures continues to undergo a dramatic shift toward sinus preservation protocols.’
The case series analysis by Sapna A. Patel of the University
of Washington, Seattle, and coauthors, included patients who all
sustained frontal sinus fractures due to trauma, including falls, motor
vehicle collisions, sports-related injuries, assault and other blunt
In the protocol, those who do not undergo immediate surgical repair
undergo clinical observation and repeated radiographic imaging.
In this analysis, 22 of 25 patients included in the study had both
clinical and radiologic follow-up. Of the 22 patients, 20 were treated
without surgery had 19 had improvement. There were no complications.
"This is a preliminary report of an ongoing study; additional
investigation is warranted to ensure that this protocol adheres to the
goals of frontal sinus treatment in the long term. With improved
diagnostic surveillance and minimally invasive techniques, treatment of
frontal sinus fractures continues to undergo a dramatic shift toward
sinus preservation protocols," the article concludes.