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2025, Number 4

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Lat Am J Oral Maxillofac Surg 2025; 5 (4)

Frontal sinus fractures: analysis of cases with late sequelae and design of a long-term follow-up protocol

Chamorro VA, Vargas FI, Pedemonte TC, González ML, Noguera PA

Language: Spanish
References: 17
Page: 157-165
PDF size: 3812.67 Kb.


ABSTRACT

Late complications after frontal sinus fractures may arise decades post-trauma, with no consensus on optimal follow-up duration. We report four cases treated 7-25 years after initial surgery, including mucoceles, obliteration material infections, and frontal fistulas. All underwent coronal approach, cranialization, and bone repair, with no recurrences. We present a structured long-term clinical and radiological follow-up protocol enabling early detection and successful management of such sequelae. Our experience supports indefinite monitoring to optimize outcomes and preserve quality of life, a strategy applicable to other centers.


REFERENCES

  1. Rodríguez-Perales MA, Canul-Andrade LP, Villagra-Siles E, et al. Tratamiento quirúrgico de las fracturas del seno frontal. An Otorrinolaringol Mex. 2004; 49 (2): 43-49. Disponible en: https://www.medigraphic.com/pdfs/anaotomex/aom-2004/aom042g.pdf

  2. Jung SH, Rodríguez IZ, Tambay MC, Aniceto GS, Moreno JJM. Tratamiento y complicaciones de las fracturas de seno frontal. Rev Esp Cirug Oral Maxilofac. 2007; 29 (3): 147-154. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-05582007000300003

  3. Kambalimath DH, Sridhar KR, Achutha S. Surgical management of frontal bone fractures. J Craniofac Surg. 2021; 32 (4): 1472-1475. doi: 10.1097/SCS.0000000000007352.

  4. Obayemi A, Losenegger T, Long S, Spielman D, Casiano MF, Reeve G, et al. Frontal sinus fractures: 10-year contemporary experience at a level 1 urban trauma center. J Craniofac Surg. 2021; 32 (4): 1376-1380. doi: 10.1097/SCS.0000000000007297.

  5. Koudstaal MJ, van der Wal KGH, Bijvoet HWC, Vincent AJPE, Poublon RMI. Post-trauma mucocele formation in the frontal sinus: a rationale of follow-up. Int J Oral Maxillofac Surg. 2004; 33 (8): 751-754. doi: 10.1016/j.ijom.2004.04.003.

  6. Farag A, Rosen MR, Ziegler N, Rimmer RA, Evans JJ, Farrell CJ, et al. Management and Surveillance of Frontal Sinus Violation following Craniotomy. J Neurol Surg B Skull Base. 2020; 81 (1): 1-7. doi: 10.1055/s-0038-1676826.

  7. Pefaure J, Mackfarlane M, Bustos-Martínez G, Angrigiani C. Obliteración de fracturas de seno frontal con colgajos pediculados. Cir Plást Ibero-Latinoam. 2014; 40 (1): 55-61.

  8. Johnson NR, Roberts MJ. Frontal sinus fracture management: a systematic review and meta-analysis. Int J Oral Maxillofac Surg. 2021; 50 (1): 75-82. doi: 10.1016/j.ijom.2020.06.011.

  9. Kamoshima Y, Terasaka S, Nakamaru Y, Takagi D, Fukuda S, Houkin K. Giant frontal mucocele occurring 32 years after frontal bone fracture: a case report. Case Rep Neurol. 2012; 4 (1): 34-37. doi: 10.1159/000336326.

  10. Guy WM, Brissett AE. Contemporary management of traumatic fractures of the frontal sinus. Otolaryngol Clin North Am. 2013; 46 (5): 733-748.

  11. Rodríguez ED, Stanwix MG, Nam AJ, St Hilaire H, Simmons OP, Christy MR, et al. Twenty-six-year experience treating frontal sinus fractures: a novel algorithm based on anatomical fracture pattern and failure of conventional techniques. Plast Reconstr Surg. 2008; 122 (6): 1850-1866. doi: 10.1097/PRS.0b013e31818d58ba.

  12. Gossman DG, Archer SM, Arosarena O. Management of frontal sinus fractures: a review of 96 cases. Laryngoscope. 2006; 116 (8): 1357-1362. doi: 10.1097/01.mlg.0000227196.19968.32.

  13. Kammien AJ, Noel OF, Aregbe A, Clune JE. Complications following open treatment of frontal sinus fracture: A nationwide analysis of 1492 patients. J Craniomaxillofac Surg. 2025; 53 (2): 129-133. doi: 10.1016/j.jcms.2024.11.012.

  14. Xie C, Mehendale N, Barrett D, Bui CJ, Metzinger SE. 30-year retrospective review of frontal sinus fractures: The Charity Hospital experience. J Craniomaxillofac Trauma. 2000; 6 (1): 7-15; discussion 16-18.

  15. Gerbino G, Roccia F, Benech A, Caldarelli C. Analysis of 158 frontal sinus fractures: current surgical management and complications. J Craniomaxillofac Surg. 2000; 28 (3): 133-139. doi: 10.1054/jcms.2000.0134.

  16. Wilson BC, Davidson B, Corey JP, Haydon RC 3rd. Comparison of complications following frontal sinus fractures managed with exploration with or without obliteration over 10 years. Laryngoscope. 1988; 98 (5): 516-520. doi: 10.1288/00005537-198805000-00008.

  17. Doonquah L, Brown P, Mullings W. Management of frontal sinus fractures. Oral Maxillofac Surg Clin North Am. 2012; 24 (2): 265-274, ix. doi: 10.1016/j.coms.2012.01.008.




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