Frontal sinus fracture: Difference between revisions
m (moved Frontal Bone Fracture to Frontal Sinus Fracture) |
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| Line 11: | Line 11: | ||
***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 | ||
**If ant wall fx need CT to evaluate posterior wall (75% have both walls fractured) | |||
==Management== | ==Management== | ||
| Line 19: | Line 20: | ||
*Depresed fx? | *Depresed fx? | ||
**Admit for IV abx and operative repair | **Admit for IV abx and operative repair | ||
*Need neurosurg or ENT for posterior wall fx since many need surgery and IV abx | |||
==See Also== | ==See Also== | ||
Revision as of 18:53, 11 June 2012
Background
- Requires high-energy
- Must rule-out TBI, additional fx, and cervical spine injury
Diagnosis
- 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
- If ant wall fx need CT to evaluate posterior wall (75% have both walls fractured)
- 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
- Need neurosurg or ENT for posterior wall fx since many need surgery and IV abx
See Also
Source
Tintinalli's