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. 2024 Jan 18;46(1):4. doi: 10.1186/s40902-024-00414-z

Table 2.

Summary of patient details

Patient (sex/age) Cause of injury Associated fracture Neurosurgical problem Type of frontal sinus fracture Surgical method and material Neurosurgical intervention Complication & current status
Isolated anterior wall Combined anterior and posterior wall
1 (F/50) Road traffic accident Both NOE, right ZMC Comminuted ORIF with metal plate None
2 (M/15) Fall Comminuted ORIF with absorbable mesh None
3 (M/14) Sports injury Displaced ORIF with absorbable mesh None
4 (M/45) Chainsaw injury Comminuted ORIF with PPM None
5 (M/23) Interpersonal assault Nasal bone Displaced ORIF with absorbable mesh None
6 (M/59) Chainsaw injury Orbital floor Comminuted ORIF with metal plate and PPM None
7 (M/38) Fall Left orbital roof, medial wall, floor and maxilla Anterior wall comminuted, posterior wall linear Sinus obliteration with collagen sponge None
8 (M/23) Sports injury Both orbital roof and medial wall Anterior wall comminuted, sinus floor comminuted, posterior wall linear Sinus obliteration with collagen sponge None
9 (M/46) Fall Both maxilla, right orbital roof CSF rhinorrhea, traumatic SDH Anterior wall comminuted, sinus floor comminuted, posterior wall comminuted Sinus obliteration with HAC Exploration of dural injuries None
10 (M/51) Fall LeFort I and II and right ZMC, nasal bone Anterior wall comminuted, sinus floor comminuted, posterior wall comminuted Sinus obliteration with HAC None
11 (M/60) Fall Right orbital roof, left maxilla, nasal bone CSF rhinorrhea, traumatic ICH Anterior wall comminuted, sinus floor comminuted, posterior wall comminuted Cranialization Exploration of dural injuries None
12 (M/43) Interpersonal assault (hammer injury) Right orbital roof CSF rhinorrhea Anterior wall comminuted, sinus floor comminuted, posterior wall comminuted Cranialization Craniotomy and dural repair None
13 (M/34) Fall Right temporal bone, ZMC and NOE, left orbital medial wall, nasal bone CSF rhinorrhea, traumatic EDH, SDH Anterior wall comminuted, sinus floor comminuted, posterior wall comminuted Sinus obliteration with HAC Craniotomy and dural repair None
14 (M/49) Road traffic accident Both temporal bone, left maxilla, nasal bone CSF rhinorrhea, traumatic SAH, SDH, EDH Anterior wall comminuted, sinus floor comminuted, posterior wall comminuted Cranialization Craniotomy and EDH removal, dural repair Intermittent headache, forehead contour irregularity
15 (M/67) Slip Left orbital roof Traumatic EDH Anterior wall comminuted, sinus floor comminuted, posterior wall comminuted Sinus obliteration with HAC None
16 (M/88) Pedestrian accident Both NOE, right maxilla, left ZMC Traumatic SAH, SDH Anterior wall comminuted, sinus floor comminuted, posterior wall comminuted Sinus obliteration with HAC Exploration of dural injuries Brain abscess, death
17 (M/44) History of previous frontal sinus fracture CSF rhinorrhea Anterior wall, sinus floor, posterior wall defect Sinus obliteration with autologous cancellous bone Craniotomy and dural repair Recurrent CSF leakage and meningitis, death

NOE naso-orbito-ethmoid, ZMC zygomaticomaxillary complex, ORIF open reduction and internal fixation, CSF cerebrospinal fluid, SDH subdural hematoma, ICH intracerebral hemorrhage, EDH epidural hematoma, SAH subarachnoid hemorrhage, PPM porous polyethylene material, HAC hydroxyapatite cement