Management of frontal sinus fractures: Changing concepts

R. J. Rohrich, L. H. Hollier

Research output: Contribution to journalArticle

123 Citations (Scopus)

Abstract

Since the turn of the century, surgeons have handled frontal sinus fractures with a variety of different procedures. The optimal management procedure remains controversial. We have presented a graduated anatomic algorithm for treatment of frontal sinus fractures based on the degree of fracture displacement and nasofrontal duct involvement and presence of CSF leak. Nondisplaced fractures are best handled conservatively, without operative intervention. However, the majority of frontal sinus fractures require operative correction. Uncomplicated anterior table displacement with an aesthetic deformity is treated by fragment reduction and stabilization with miniplates or microplates or wires. Nasofrontal duct obstruction is usually managed by sinus obliteration with spontaneous osteoneogenesis or autologous bone grafting. Finally, comminuted, displaced anterior and posterior table fractures, especially those with persistent CSF leakage and associated nasofrontal duct involvement, are best handled with frontal sinus cranialization. The presented algorithm is simply a treatment guideline. Frontal sinus fracture management must be individualized. However, this graduated anatomic approach provides a pragmatic framework for decision making and understanding this complex and controversial topic.

Original languageEnglish (US)
Pages (from-to)219-232
Number of pages14
JournalClinics in Plastic Surgery
Volume19
Issue number1
StatePublished - 1992

Fingerprint

Frontal Sinus
Bone Transplantation
Esthetics
Decision Making
Guidelines
Therapeutics

ASJC Scopus subject areas

  • Surgery

Cite this

Rohrich, R. J., & Hollier, L. H. (1992). Management of frontal sinus fractures: Changing concepts. Clinics in Plastic Surgery, 19(1), 219-232.

Management of frontal sinus fractures : Changing concepts. / Rohrich, R. J.; Hollier, L. H.

In: Clinics in Plastic Surgery, Vol. 19, No. 1, 1992, p. 219-232.

Research output: Contribution to journalArticle

Rohrich, RJ & Hollier, LH 1992, 'Management of frontal sinus fractures: Changing concepts', Clinics in Plastic Surgery, vol. 19, no. 1, pp. 219-232.
Rohrich, R. J. ; Hollier, L. H. / Management of frontal sinus fractures : Changing concepts. In: Clinics in Plastic Surgery. 1992 ; Vol. 19, No. 1. pp. 219-232.
@article{f736133b881d473ca36edabcf69a6413,
title = "Management of frontal sinus fractures: Changing concepts",
abstract = "Since the turn of the century, surgeons have handled frontal sinus fractures with a variety of different procedures. The optimal management procedure remains controversial. We have presented a graduated anatomic algorithm for treatment of frontal sinus fractures based on the degree of fracture displacement and nasofrontal duct involvement and presence of CSF leak. Nondisplaced fractures are best handled conservatively, without operative intervention. However, the majority of frontal sinus fractures require operative correction. Uncomplicated anterior table displacement with an aesthetic deformity is treated by fragment reduction and stabilization with miniplates or microplates or wires. Nasofrontal duct obstruction is usually managed by sinus obliteration with spontaneous osteoneogenesis or autologous bone grafting. Finally, comminuted, displaced anterior and posterior table fractures, especially those with persistent CSF leakage and associated nasofrontal duct involvement, are best handled with frontal sinus cranialization. The presented algorithm is simply a treatment guideline. Frontal sinus fracture management must be individualized. However, this graduated anatomic approach provides a pragmatic framework for decision making and understanding this complex and controversial topic.",
author = "Rohrich, {R. J.} and Hollier, {L. H.}",
year = "1992",
language = "English (US)",
volume = "19",
pages = "219--232",
journal = "Clinics in Plastic Surgery",
issn = "0094-1298",
publisher = "W.B. Saunders Ltd",
number = "1",

}

TY - JOUR

T1 - Management of frontal sinus fractures

T2 - Changing concepts

AU - Rohrich, R. J.

AU - Hollier, L. H.

PY - 1992

Y1 - 1992

N2 - Since the turn of the century, surgeons have handled frontal sinus fractures with a variety of different procedures. The optimal management procedure remains controversial. We have presented a graduated anatomic algorithm for treatment of frontal sinus fractures based on the degree of fracture displacement and nasofrontal duct involvement and presence of CSF leak. Nondisplaced fractures are best handled conservatively, without operative intervention. However, the majority of frontal sinus fractures require operative correction. Uncomplicated anterior table displacement with an aesthetic deformity is treated by fragment reduction and stabilization with miniplates or microplates or wires. Nasofrontal duct obstruction is usually managed by sinus obliteration with spontaneous osteoneogenesis or autologous bone grafting. Finally, comminuted, displaced anterior and posterior table fractures, especially those with persistent CSF leakage and associated nasofrontal duct involvement, are best handled with frontal sinus cranialization. The presented algorithm is simply a treatment guideline. Frontal sinus fracture management must be individualized. However, this graduated anatomic approach provides a pragmatic framework for decision making and understanding this complex and controversial topic.

AB - Since the turn of the century, surgeons have handled frontal sinus fractures with a variety of different procedures. The optimal management procedure remains controversial. We have presented a graduated anatomic algorithm for treatment of frontal sinus fractures based on the degree of fracture displacement and nasofrontal duct involvement and presence of CSF leak. Nondisplaced fractures are best handled conservatively, without operative intervention. However, the majority of frontal sinus fractures require operative correction. Uncomplicated anterior table displacement with an aesthetic deformity is treated by fragment reduction and stabilization with miniplates or microplates or wires. Nasofrontal duct obstruction is usually managed by sinus obliteration with spontaneous osteoneogenesis or autologous bone grafting. Finally, comminuted, displaced anterior and posterior table fractures, especially those with persistent CSF leakage and associated nasofrontal duct involvement, are best handled with frontal sinus cranialization. The presented algorithm is simply a treatment guideline. Frontal sinus fracture management must be individualized. However, this graduated anatomic approach provides a pragmatic framework for decision making and understanding this complex and controversial topic.

UR - http://www.scopus.com/inward/record.url?scp=0026570728&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0026570728&partnerID=8YFLogxK

M3 - Article

C2 - 1537220

AN - SCOPUS:0026570728

VL - 19

SP - 219

EP - 232

JO - Clinics in Plastic Surgery

JF - Clinics in Plastic Surgery

SN - 0094-1298

IS - 1

ER -