Frontal sinus fracture

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Clinical Features

  • Assess sinus involvement:
    • Crepitus
    • Laceration over fracture site is typical

Differential Diagnosis

Maxillofacial Trauma


  • Imaging
    • Head CT indicated if suspect fracture
      • Assess anterior and posterior tables
        • Through and through fracture require symptoms to prevent pneumocephalus, CSF leak, infection
    • If ant wall fracture need CT to evaluate posterior wall (75% have both walls fractured)


  • Consult neurosurgery or ENT for posterior wall fracture since many need surgery and IV antibiotics


See Also


  1. Strong EB. Frontal sinus fractures: a 28-year retrospective review. Otolaryngol Head Neck Surg. 2006;135(5):774-779
  2. Bell RB. A protocol for the management of frontal sinus fractures emphasizing sinus preser- vation. J Oral Maxillofac Surg. 2007