Abstract

Frontal sinus fractures occur from trauma to the part of the frontal bone that overlies the sinus, often from motor vehicle accidents and falls. The hallmarks of a frontal sinus fracture are a frontal depression in the anterior table of the bone. Additionally, clear fluid leaking from the nose may indicate that fractures to the posterior table have torn into the dura mater, creating a cerebrospinal fluid leak.
 Total 20 cases of the patients undergoing the surgery for frontal sinus injuries were evaluated in the present study was planned in Department of Oral & Maxillofacial Surgery, Buddha Institute of Dental Sciences & Hospital. The patients were divided in two groups. Group A includes the 10 cases in which care was taken in first 10 days. Group B includes the 10 cases in which care was taken after 10 days.
 The data generated from the present study concludes that fractures of the frontal sinuses are more and more frequent and serious. They involve the vital, functional and aesthetic prognosis of patients, and must therefore require a safe method of management with ways of starting allowing both good security and better exposure.
 Keywords: Craniofacial Trauma, Frontal Sinus Surgery, Cranialization, Exclusion of Sinus, etc.

Highlights

  • The frontal sinuses are one of the four pairs of paranasal sinuses that are situated behind the brow ridges

  • Frontal sinus fractures occur from trauma to the part of the frontal bone that overlies the sinus, often from motor vehicle accidents and falls

  • The data generated from the present study concludes that fractures of the frontal sinuses are more and more frequent and serious

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Summary

Introduction

The frontal sinuses are one of the four pairs of paranasal sinuses that are situated behind the brow ridges. Each opens into the anterior part of the corresponding middle nasal meatus of the nose through the frontonasal duct which traverses the anterior part of the labyrinth of the ethmoid. These structures open into the semilunar hiatus in the middle meatus. Frontal sinuses are rarely symmetrical and the septum between them frequently deviates to one or other side of the middle line. Their average measurements are as follows: height 28 mm, breadth 24 mm, depth 20 mm, creating a space of 6-7 ml. The mucous membrane in this sinus is innervated by the supraorbital nerve, which carries the postganglionic parasympathetic nerve fibers for mucous secretion from the ophthalmic nerve and supplied by the supraorbital artery and anterior ethmoidal artery

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