Frontal sinus fracture: Difference between revisions
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*Requires high-energy | *Requires high-energy | ||
**Must rule-out TBI, additional fx, and cervical spine injury | **Must rule-out TBI, additional fx, and cervical spine injury | ||
==Diagnossi | |||
*Assess sinus involvement: | *Assess sinus involvement: | ||
**Crepitus | **Crepitus | ||
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***Assess anterior and posterior tables | ***Assess anterior and posterior tables | ||
****Through and through fx require sx to prevent pneumocephalus, CSF leak, infection | ****Through and through fx require sx to prevent pneumocephalus, CSF leak, infection | ||
==Management== | |||
*Sinus involvement? | |||
**If yes then give 1st gen cephalosporin or amoxicillin clavulanate | |||
*Isolated anterior table fx? | |||
**D/C w/ facial surgeon f/u | |||
*Depresed fx? | |||
**Admit for IV abx and operative repair | |||
==See Also== | ==See Also== | ||
Revision as of 17:57, 11 June 2012
Background
- Requires high-energy
- Must rule-out TBI, additional fx, and cervical spine injury
==Diagnossi
- Assess sinus involvement:
- Crepitus
- Laceration over fracture site is typical
- Imaging
- Head CT indicated if suspect fracture
- Assess anterior and posterior tables
- Through and through fx require sx to prevent pneumocephalus, CSF leak, infection
- Assess anterior and posterior tables
- Head CT indicated if suspect fracture
Management
- Sinus involvement?
- If yes then give 1st gen cephalosporin or amoxicillin clavulanate
- Isolated anterior table fx?
- D/C w/ facial surgeon f/u
- Depresed fx?
- Admit for IV abx and operative repair
See Also
Source
Tintinalli's