Upper Face 3 – Treatment

  • Complex frontal sinus fractures will often require elimination of the frontal sinus in order to re-establish an effective barrier between the external environment and the anterior cranial fossa.
  • The frontal sinus is eliminated by sinus obliteration or cranialization, which can be differentiated on postoperative imaging based on whether the posterior table remains in situ.
  • As a summary for frontal sinus fractures: describe anterior or posterior table involvement; describe comminution and displacement; raise concern for sinus outflow obstruction if there are displaced bone fragments obscuring the drainage pathway.
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Comprehension Questions

Interactive questions will be added here.