Outcome of Conservative Management of Traumatic Frontal Air Sinus Fractures

MOHAMED M. ELSHIMY, M.D.; MOHAMED A. EISSA, M.D.; MOHAMED M. ABDELWAHAB, M.Sc.;, SHERIF A. MOSTAFA, M.Sc. And EHAB ABDELHALIM, M.D.

doi:10.21608/mjcu.2024.371319

Outcome of Conservative Management of Traumatic Frontal Air Sinus Fractures

Document Type : Original Article

Author

SHERIF A. MOSTAFA, M.Sc. and EHAB ABDELHALIM, M.D. MOHAMED M. ELSHIMY, M.D.; MOHAMED A. EISSA, M.D.; MOHAMED M. ABDELWAHAB, M.Sc.;

The Department of Neurosurgery, Faculty of Medicine, Cairo University

10.21608/mjcu.2024.371319

Abstract

Background: An algorithm for management of isolated frontal air sinus fractures is yet to be set, however, conservative management is gaining more advocates. Aim of Study: To review the results of conservative man-agement of traumatic frontal air sinus fractures. Patients and Methods: Retrospective analysis of medical records of 48 cases of frontal air sinus fractures including 22 conservative and 26 surgical cases. Data included cerebrospinal fluid (CSF) leak, morphological assessment of patient images, complications, hospital stay, and long term follow-up. Results: Patients were predominantly young males. Traffic accidents were the most common cause (81.3%). CSF rhinor-rhea was encountered in 54.5% of conservative cases. Hospital stay was significantly shorter in the conservative group (p<0.5). Conclusion: Conservative management of frontal air sinus fractures is a safe and effective modality of treatment in many cases.

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