Frontal sinus fractures: A 28‐year retrospective review

Strong, E. Bradley; Pahlavan, Nima; Saito, David M.

doi:10.1016/j.otohns.2006.03.043

Cited by 74 publications

(60 citation statements)

References 5 publications

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“…Generally, fractures of the frontal bone are associated with high impact trauma and dynamic forces, such as traffic accidents, assaults, and sport accidents (May, 1970; Tiwari et al, 2005; Bell et al, 2007; Mithani et al, 2009). The injuries of the frontal region are varying, as they range from isolated fractures of the anterior sinus' wall, to very complex fractures involving the orbit and skull base (Strong et al, 2006; Holier et al, 2010; Dimitrijevic et al, 2014). Fracture pattern and its complexity depend on many factors, such as impact force intensity and direction, site of impact, and frontal bone quality.…”

Section: Introductionmentioning

confidence: 99%

Trauma of the Frontal Region Is Influenced by the Volume of Frontal Sinuses. A Finite Element Study

et al. 2017

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Anatomy of frontal sinuses varies individually, from differences in volume and shape to a rare case when the sinuses are absent. However, there are scarce data related to influence of these variations on impact generated fracture pattern. Therefore, the aim of this study was to analyse the influence of frontal sinus volume on the stress distribution and fracture pattern in the frontal region. The study included four representative Finite Element models of the skull. Reference model was built on the basis of computed tomography scans of a human head with normally developed frontal sinuses. By modifying the reference model, three additional models were generated: a model without sinuses, with hypoplasic, and with hyperplasic sinuses. A 7.7 kN force was applied perpendicularly to the forehead of each model, in order to simulate a frontal impact. The results demonstrated that the distribution of impact stress in frontal region depends on the frontal sinus volume. The anterior sinus wall showed the highest fragility in case with hyperplasic sinuses, whereas posterior wall/inner plate showed more fragility in cases with hypoplasic and undeveloped sinuses. Well-developed frontal sinuses might, through absorption of the impact energy by anterior wall, protect the posterior wall and intracranial contents.

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Section: Introductionmentioning

confidence: 99%

Trauma of the Frontal Region Is Influenced by the Volume of Frontal Sinuses. A Finite Element Study

et al. 2017

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“…The authors do not speculate as to the etiology of the frontalis weakness; they only conclude that cranialization may not be appropriate for minimally displaced posterior table fractures based on noninferior outcomes in similar patients who were managed nonoperatively. A second retrospective review by Strong et al analyzed 130 patients who were treated surgically for frontal sinus fracture over 15 years and found that 5 patients (4%) suffered from temporal nerve paresis postoperatively [1]. Unfortunately, no information was given on the severity of the fracture, the type of surgery, or the timing of the complication.…”

Section: Discussionmentioning

confidence: 99%

“…Frontal sinus fractures (FSF) are relatively uncommon and can be associated with significant morbidity [1]. 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].…”

Section: Introductionmentioning

confidence: 99%

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Temporary Frontal Paralysis Secondary to Blunt Trauma Frontal Sinus Fracture

Bastianelli

Hamilton

Hearn

et al. 2017

Case Reports in Otolaryngology

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Frontal sinus fractures (FSF) are relatively uncommon and can be challenging for trauma surgeons to manage. Patients with FSF typically present with facial swelling, pain, and nasofrontal ecchymosis. Here we present a rare case of a patient with FSF and anterior table fracture where the main presenting symptom was bilateral frontal paralysis. We outline our management strategy and review the current literature in regard to management of FSF.

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“…3 Consequently, frontal sinus fractures account for only 5 to 15% of maxillofacial injuries and are most commonly associated with motor vehicles accidents, sporting events, and assaults. 4 The extreme force required to fracture the anterior table of the frontal sinus results in serious associated injuries in many patients. 5 Sixty-six percent of patients will have associated facial fractures.…”

Section: Epidemiologymentioning

confidence: 99%