Abstract
Fractures of the frontal sinus are part of the fractures of the border between the facial and the cranial regions. They cause both aesthetic and vital problems, but also functional, requiring rapid and global care in a multidisciplinary setting. The document provides a descriptive and cross sectional study with prospective data collection, conducted in the department of Maxillofacial and Aesthetic Surgery of the Mohammed 6 Teaching Hospital of Marrakech, describe describe 18case operated for frontal sinus fractures over a 2-year period. The ideal time of repair was beyond the 72nd hour, at best between the 8th and 15th days after the reduction of cerebral and facial edema and the exclusion of any lesions that require emergency intervention. Our indications were mainly influenced by aesthetic deformities, impaction and embarrure fracture of ethmoidal and orbital roofs with clinical expression, obliteration of the naso-frontal duct, posterior wall displacement predicting dura mater laceration, and by the time to management. The coronal approach was the most indicated with 83, 33% of the cases. We realized sinus exclusion in 72.22%, cranialization in 22.77%, and repair of dura mater injuries in 27.77%. The sequelae found in 27.77%, were essentially functional and aesthetic.
Highlights
Fractures of the frontal sinus represent post traumatic injuries, open or closed around one or both walls of the frontal sinus, causing the communication of the intra sinus content with the asbestos medium
They are often associated with other fractures, at the level of the facial plate, complex nasomaxilloethmoidal, and orbital fracture [1,2,3]. They are exceptional in children, rare in adolescents, more frequent in adults [4]. They are potentially serious, with the main risk, the meningo-encephalic involvement causing the passage of cerebrospinal fluid (CSF) in the sinus cavity, and cause the occurrence of life-threatening complications [2]
All patients hospitalized for frontal sinus fractures, isolated or not, were included
Summary
Fractures of the frontal sinus represent post traumatic injuries, open or closed around one or both walls of the frontal sinus, causing the communication of the intra sinus content with the asbestos medium They are often associated with other fractures, at the level of the facial plate, complex nasomaxilloethmoidal, and orbital fracture [1,2,3]. They are exceptional in children, rare in adolescents, more frequent in adults [4] They are potentially serious, with the main risk, the meningo-encephalic involvement causing the passage of cerebrospinal fluid (CSF) in the sinus cavity, and cause the occurrence of life-threatening complications [2]. It is with this in mind, that we lead this study whose purpose is to discuss the different pathways and, to state our indications and surgical approaches in fractures of the frontal sinus
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