Frontal Bone Fractures

Abstract

The aim of this retrospective study was to evaluate the epidemiology, treatment, and complications of frontal bone fractures associated, or not, with other facial fractures. This evaluation also sought to minimize the influence of the surgeon's skills and the preference for any rigid internal fixation system. The files from 3758 patients who attended the Oral and Maxillofacial Surgery Department of the School of Dentistry of Ribeirao Preto, University of Sao Paulo, from March 2004 to November 2011 and presented with facial trauma were scanned, and 52 files were chosen for the review. Eleven (21.15%) of these patients had pure fractures of the frontal bone, and trauma incidence was more prevalent in men (92.3%), whites (61.53%), and adults (50%). Despite the use of helmets at the moment of the trauma, motorcycle crashes were the most common etiological factor (32.69%). Fracture of the anterior wall of the frontal sinus with displacement was the main injury observed (54.9%), and the most common treatment was internal fixation with a plate and screws (45.09%). Postoperative complications were observed in 35.29% of the cases. The therapy applied was effective in handling this type of fracture, and the success rate was comparable to that reported in other published studies.

Facial Fractures as a Result of Falls in the Elderly: Concomitant Injuries and Management Strategies

“…The hard mineral matrices of both the frontal bone and the skull protect the brain and are relatively more difficult to break. Extremely strong forces are required to fracture them, and frontal bone fractures are associated with serious systemic injuries, as well as higher rates of morbidity and mortality 232425. Thus, the association with intracranial hemorrhage is expected as the barriers protecting meninges and the blood vessels of the brain are breached.…”

“…Extremely strong forces are required to fracture them, and frontal bone fractures are associated with serious systemic injuries, as well as higher rates of morbidity and mortality. [23][24][25] Thus, the association with intracranial hemorrhage is expected as the barriers protecting meninges and the blood vessels of the brain are breached. An increased rate of intracranial hemorrhage may also be observed in the elderly population due to the U.S. Preventive…”

Temporary Frontal Paralysis Secondary to Blunt Trauma Frontal Sinus Fracture

“…Normally, a substantial amount of energy is required to cause a fracture, with the most common scenario being a motor vehicle accident (MVA). Demographically, the literature reveals a predisposition towards frontal sinus fractures among white males between the ages of 30 and 34 [2, 4]. …”

“…Etiologies of FSF include high-energy, blunt traumatic events such as motorcycle accidents, automobile accidents, and interpersonal violence and are often associated with multiple concomitant injuries [2]. Up to 66% of patients will have associated facial fractures [3].…”

“…Symptoms of patients presenting with frontal sinus fracture include frontal pain, edema, and ecchymosis [1, 2, 4]. More severe comminuted anterior table fractures can result in facial deformity and may necessitate surgical correction.…”