Abstract
Due to necessity of huge impact forces, fractures of the frontal sinus rarely occur isolated, they are mostly seen in association with other craniofacial or skull base lesions. The treatment of frontal sinus fractures in children has become more conservative in the last decades, due to increased accuracy of imaging techniques and endoscopy. Craniofacial CT is the golden standard in such cases. The choice of treatment varies in each particular case, depending on the presence of rinoliquoreea or involvement of nasofrontal recesses; the aim is to be as conservative as possible, in order not to interfere with the growing of the child’s face. The authors present two cases of complex facial trauma, both involving the posterior wall of the frontal sinus; still, the management was conservative in those cases.
Highlights
Due to necessity of huge impact forces, fractures of the frontal sinus rarely occur isolated, they are mostly seen in association with other craniofacial or skull base lesions
Datorită forţei mari de impact, acestea sunt rareori izolate şi asociază alte leziuni craniofaciale. [1,7]
Prezenţa aspectului de deplasare al fracturii peretelui posterior al sinusului frontal stâng, precum şi a pneumoencefalului avertizează asupra posibilităţii unei fistule LCR
Summary
Due to necessity of huge impact forces, fractures of the frontal sinus rarely occur isolated, they are mostly seen in association with other craniofacial or skull base lesions. Imagistic, deplasarea tăbliei posterioare a sinusului frontal este mai mare decât cea a peretelui anterior, riscul leziunilor intracerebrale creşte!
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