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KMID : 0361020000430040396
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Korean Journal of Otolaryngology - Head and Neck Surgery
2000 Volume.43 No. 4 p.396 ~ p.401
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Management of Frontal Sinus Fracture according to the Type and Severity of the Fracture : Analysis of 23 Cases
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Jin Hong-Ryul
Shin See-Ok
Choi Young-Seok
Yong Man-Gang
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Abstract
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Background and Objectives : Frontal sinus fracture can have serious consequences due to proximity of the
sinus to the intracranial cavity and the potential for serious combined injuries. Management of the
fractures depends on the type and severity of the fracture and the presence of associated injuries. In this
article, we present an overview of fracture treatment options, and offer a simple algorithm for
management based on the type and severity of the fracture.
Patients and Methods : Twenty-three patients with frontal sinus fractures were analysed. All patients
were male, with the mean age of 31. The average follow-up length was 13 months. Of 23 patients, 8
patients had anterior wall fractures and 15 patients had anterior and posterior wall fractures. Their types
of fracture, combined injuries, surgical methods, surgical results, and complications were analysed.
Results : Six patients had conservative management and 17 patients had surgery. Of 17 patients who had
surgery, 6 patients had only repair of the fracture, 3 patients had repair of the fracture with sinus
obliteration, and 8 patients had repair of the fracture with cranialization of the frontal sinus. The most
common associated injury was fractures of other facial bones (83%), especially the orbit. Traumatic optic
neuropathy was the most common complication associated with the frontal sinus fracture of its
accompanying injuries.
Conclusion : Frontal sinus fractures were safely managed with repair of the fracture, sinus obliteration, or
with sinus cranialization which was used irrespective of type and severity of fractures.
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KEYWORD
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Frontal sinus fracture, Sinus Obliteration, Sinus cranialization, Traumatic optic neuropathy
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