Maurer, Michael and Ritzinger, Katharina and Gottsauner, Maximilian and Haj, Amer and Schebesch, Karl-Michael and Kuehnel, Thomas and Reichert, Torsten E. and Ettl, Tobias (2025) Surgical treatment of frontal sinus fractures: a retrospective evaluation of 116 cases. JOURNAL OF CRANIO-MAXILLOFACIAL SURGERY, 53 (12). pp. 2270-2278. ISSN 1010-5182, 1878-4119
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There are various treatment options for frontal sinus fractures. They mainly depend on whether the anterior or posterior table and the frontal sinus outflow tract (FSOT) are affected. Our study retrospectively assessed the surgical management of 116 frontal sinus fractures in terms of the different surgical treatment options as well as the resulting complications. In our cohort, all cases of displaced anterior table fractures (n = 73) were treated by open reduction and fixation (ORIF). In cases of posterior table fractures (n = 43), cranialization, obliteration, sinus preserving measures, or no treatment were carried out. Pyomucocele was the most common complication, occurring in 8.6 % of cases. It was significantly more frequent with dislocation of the posterior table without treatment (p = 0.003). Cerebrospinal fluid (CSF) leakage was especially observed in combined anterior and posterior table fractures (p = 0.012) and in cases of accompanying centrolateral midfacial fractures (p < 0.001). Poor aesthetic outcome was significantly more frequent with concomitant nasoethmoidal fracture (p < 0.001). CSF leakage and cosmetic defects seem to depend mainly on the severity of the trauma and the accompanying injuries. Reconstruction of the posterior wall and sealing it with autologous grafts appears to be an effective method of preventing CSF leakage and pyomucocele in most cases.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | POSTTRAUMATIC MENINGITIS; MANAGEMENT; ALGORITHM; OUTCOMES; Frontal sinus fracture; Frontal sinusitis; Pyomucocele; CSF leakage; Cranialization; Obliteration; Sinus preservation |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Hals-Nasen-Ohren-Heilkunde Medicine > Lehrstuhl für Mund-, Kiefer- und Gesichtschirurgie Medicine > Lehrstuhl für Neurochirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 02 Jun 2026 05:00 |
| Last Modified: | 02 Jun 2026 05:00 |
| URI: | https://pred.uni-regensburg.de/id/eprint/65885 |
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