RT Book, Section
A1 Stark, Christopher L.
A2 Knoop, Kevin J.
A2 Stack, Lawrence B.
A2 Storrow, Alan B.
A2 Thurman, R. Jason
SR Print(0)
ID 1181037993
T1 Frontal Sinus Fracture
T2 The Atlas of Emergency Medicine, 5e
YR 2021
FD 2021
PB McGraw-Hill
PP New York, NY
SN 9781260134940
LK accessmedicine.mhmedical.com/content.aspx?aid=1181037993
RD 2024/04/19
AB Blunt  trauma  to  the  frontal  bone  may  result  in  a  depressed  frontal  sinus  fracture.  Often,  there  is  an  associated  laceration.  Isolated  frontal  fractures  normally  do  not  have  the  associated  features  of  massive  blunt  facial  trauma  such  as  seen  in  LeFort  II  and  III  fractures.  Careful  nasal  speculum  examination  may  reveal  blood  or  CSF  leak  high  in  the  nasal  cavity.  Posterior  table  involvement  can  lead  to  mucopyocele  or  epidural  empyema  as  late  sequelae.  Involvement  of  the  posterior  wall  of  the  frontal  sinus  may  occur  and  result  in  intracranial  injury  or  dural  tear.  Frontal  fractures  may  be  part  of  a  complex  of  facial  fractures,  as  seen  in  frontonasoethmoid  fractures,  but  generally  more  extensive  facial  trauma  is  required.