A Simplified Treatment Algorithm of Frontal Sinus Fractures: A Paradigm Shift?

ABSTRACT

PURPOSE: The management of frontal sinus fractures and frontal sinus outflow tract (=FSOT) injuries is controversial. Traditional treatments include frontal sinus obliteration with a variety of material grafts, which all employ complicated algorithms for treatment planning. A simplified algorithm aiming for frontal sinus ventilation, however, can be achieved through the advanced technology of image guided endoscopic surgery and instruments. The authors explain this simplified treatment algorithm of frontal sinus fractures. METHODS: The authors reviewed articles on the management of frontal sinus fractures. RESULTS: Complicated treatment planning algorithms of frontal sinus fractures aiming for obliteration were replaced with a simplified algorithm aiming for ventilation of the frontal sinus. CONCLUSION: The authors suggest that a simplified algorithm can replace the complicated algorithms in selective cases.