Surgical Management of Frontal Bone Fractures

Abstract

Introduction: Frontal bone fractures show a low frequency of occurrence of about 5% to 15% of all maxillofacial fractures occurring due to high-velocity injuries such as in the case of road traffic accidents, sporting events, assaults. Successful surgical management revolves around the concept of minimizing cosmetic deformity, maintaining normal sinus function, avoidance of short and long-term complications. In this article, the authors report a case series of 24 cases of frontal bone fracture treated with various treatment modalities. Materials and Methods: A total of 24 cases of frontal bone fracture admitted to our facility were treated accordingly and the subsequent follow up data were collected and compiled to be included in this study. Results: In our study, 83.33% cases showed isolated anterior table fractures, 8.3% cases with combined anterior and posterior table fractures. 40% cases managed conservatively, 41.6% with titanium mini plates, 12.5% cases with titanium mesh and 4% with cranialisation with fat obliteration. Conclusion: Our treatment decisions were based upon the extent and severity of the injuries which aided in tailoring the treatment modality. Thereby, curbing the long-term complications which could be foreseen and hence, a better functional outcome was achieved.

Operative Facial Fracture Patterns in Cannabis Users: A Propensity Score-Matched Analysis

“…[33][34][35][36][37][38][39] High-velocity impacts were the most common etiology identified in one study, with road traffic accidents being responsible for 87.5% of all cases. 40 Again, the most common complication was infection followed by persistent frontal sinusitis, supraorbital rim paresthesias, and headaches. 40 The elevated rate of repairs for frontal bone fractures seen in this study may speak to effects caused by altered sensorium induced by cannabis intoxication leading to motor vehicle accidents, though we can make any definitive statements due to a lack of reported etiology in this database.…”

Frontal Sinus Fractures: An Evaluation of Patient Demographics, Mechanisms of Injury, Classification, and Management Strategies in Patients Referred to a Trauma Center, From 2014 to 2019

“…2 The frontal sinus fracture occurs in 5% to 15% of all patients with craniofacial injuries. [2][3][4][5][6] Fracture is more prevalent in males than females [7][8][9][10][11] because of their greater involvement in collisions, interpersonal violence, and addictions. 9 Traffic accidents, physical assaults, and falls represent the most common etiologies of these fractures.…”

“…7,[16][17][18][19][20][21] However, the selection of an optimal strategy still depends on the pattern of the fracture and the associated complications, and it is also influenced by the professional experience of the surgeon. 2,6,9,22 The purpose of this retrospective study was to present the demographic data, mechanism of injury, classification of fracture, and management strategies in patients with frontal sinus fractures who attended the Oral and Maxillofacial Surgery Department at Rajaee Hospital of Shiraz, Iran.…”

“…The frontal sinuses are absent at birth and begin to develop at 2 years, reaching their maximum size after puberty 2 . The frontal sinus fracture occurs in 5% to 15% of all patients with craniofacial injuries 2–6 . Fracture is more prevalent in males than females 7–11 because of their greater involvement in collisions, interpersonal violence, and addictions 9 .…”

“…Today, the general trend has shifted from radical ablative procedures in the past to more conservative approaches to achieve the esthetics of the anterior frontal wall and preserve sinus function 7,16–21 . However, the selection of an optimal strategy still depends on the pattern of the fracture and the associated complications, and it is also influenced by the professional experience of the surgeon 2,6,9,22 …”