Repair of frontal sinus fractures: clinical and radiological long-term outcomes

J Laryngol Otol. 2021 May;135(5):448-451. doi: 10.1017/S0022215121001006. Epub 2021 Apr 21.

Abstract

Objective: The long-term clinical and radiological outcomes of patients surgically treated for frontal sinus fracture were assessed.

Methods: A retrospective, single-centre analysis was conducted of patients treated for frontal sinus fracture in a tertiary trauma centre between 2000 and 2017. Patients who underwent surgical repair for frontal sinus fracture followed by clinical and radiographical evaluation for at least six months were included.

Results: Of 338 patients admitted with frontal sinus fracture, 77 were treated surgically. Thirty patients met the inclusion criteria for long-term follow-up. The average follow-up duration was 37 months (range, 6-132 months). Reconstruction, obliteration and cranialisation of the frontal sinus fracture were performed in 14, 9 and 7 patients, respectively. Two patients with a reconstructed frontal sinus and one with an obliterated frontal sinus developed mucoceles. One patient developed forehead disfigurement following obliteration.

Conclusion: Long-term complications of frontal sinus repair using the chosen repair techniques are rare, but patients need to be made aware of these potential complications.

Keywords: Abscess; Fracture Fixation; Frontal Sinus; Mucocele; Skull Fractures.

MeSH terms

  • Fracture Fixation*
  • Fracture Healing
  • Frontal Sinus / injuries*
  • Humans
  • Postoperative Complications / epidemiology*
  • Retrospective Studies
  • Skull Fractures / diagnostic imaging*
  • Skull Fractures / surgery*
  • Tomography, X-Ray Computed
  • Treatment Outcome