Reverse umbrella technique – percutaneous reduction of frontal bone fracture using an intermaxillary fixation screw device

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Fractures of the frontal sinus account for approximately 5%–15% of all maxillofacial fractures with a slight male preponderance.1 The standard management involves an access coronal flap for open reduction and internal fixation, but this has some unwanted risks such as scar, alopecia, paraesthesia, and facial nerve weakness.2 We report a safe and effective percutaneous technique for closed reduction of a non-comminuted isolated anterior table fracture of the frontal sinus with the use of intermaxillary fixation (IMF) screws under image intensifier guidance.