Epidemiological Study of Frontal Sinus Fractures: Evaluation of 16 Years of Care at the Faculty of Dentistry of Ribeirão Preto/Brazil.

J Maxillofac Oral Surg

Department of Oral and Maxillofacial Surgery and Periodontology, School of Dentistry of Ribeirão Preto, University of São Paulo, Av Do Café, S/nCampus USP, Ribeirão Preto, São Paulo, CEP: 14040-904 Brazil.

Published: April 2024

AI Article Synopsis

  • The study aimed to evaluate the epidemiological profile of frontal sinus fractures in Ribeirão Preto, Brazil, over 16 years, analyzing 4,524 facial fracture cases from 9,736 consultations.
  • Frontal sinus fractures constituted 2.5% of facial fractures, predominantly affecting men aged 21-30, with 52.2% caused by road traffic accidents, and 75.2% of cases associated with other facial fractures.
  • Treatment options included surgical (52.2%) and conservative (35.4%), with the most common postoperative complications being nerve-related issues, but serious complications were less frequent.

Article Abstract

Purpose: Aiming to evaluate and study the epidemiological profile of frontal sinus fractures treated in the region of Ribeirão Preto-Brazil.

Methods: Sixteen years of activity in the Oral and Maxillofacial service of the Faculty of Dentistry of Ribeirão Preto/SP (FORP/USP), totaling 9,736 consultations, 4,524 with facial fractures, those diagnosed with frontal sinus fracture (113) were evaluated and selected for the study.

Results: Frontal sinus fractures accounted for 2.5% of facial fractures, the majority occurring in men (89.4%), concentrated in the age group 21-30 years old, with 52.2% of cases being caused by road traffic accidents (RTA). Associations with other facial fractures are common and appeared in 75.2% of cases. Treatment was followed either surgically, by open reduction internal fixation (52.2%) or conservatively (35.4%). Analyzing only the 28 isolated frontal sinus fractures, the most common treatment was conservative (46.4%). surgical treatment dropped to 25%. The most common postoperative complications were temporal branch paralysis and supraorbital nerve paresthesia, both occurring in 30.5% of surgical cases.

Conclusion: The frequency of frontal sinus fractures may be decreasing, but the pattern of occurrence in young men due to road traffic accidents does not seem to change, fortunately the appearance of serious complications is not common and it is usually associated with more severe trauma.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11001839PMC
http://dx.doi.org/10.1007/s12663-022-01765-8DOI Listing

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