Fracture of the Frontal Sinus: Complexity of a Multidisciplinary Treatment

Study Design: A retrospective study Objective: This study aims to retrospectively present our experience in the management of frontal sinus fractures, thus understanding the entire epidemiology of fractures and guiding us in the best form of treatment. Methods: The medical records of patients with frontal sinus fractures, which occurred from 2017 to 2024 (8 years), in the city os Piracicaba (423.000 inhabitants), State od São Paulo (Brazil), involving three trauma reference hospitals in the region. These patients were diagnosed and treated by the same Oral and Maxillofacial Surgery team. Results: we obtained the number of 40 patients, with ages ranging from 1 to 89 years, and an average age of 41 years. There was a predominance of the male sex with 39 cases and only 1 case of the female. After establishing the diagnosis, 22 patients received conservative treatment, while 18 patients were treated surgically (45%). The predominant etiology of the fractures was traffic accidents, accounting for 15 patients (37.5%). Conclusions: An analysis of data relating to frontal sinus fractures revealed a higher prevalence among male patients, with an average age of 41 years. The main causal factor identified was traffic accidents, which represented the majority of cases. Not that it refers to treatment, the conservative approach was the most commonly adopted. Furthermore, case review did not indicate the occurrence of complications during follow-up, resulting in recovery without the need for additional interventions.