Download PDF
CC BY 4.0 · Indian Journal of Neurotrauma 2023; 20(01): 057-059
DOI: 10.1055/s-0043-1760743
Letter to the Editor

Frontal Sinus Trauma Presenting with Frontonasal Cutaneous Fistula: A Unique Case Report

Deepak Kumar Singh
1   Department of Neurosurgery, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
,
Diwakar Shankar 
1   Department of Neurosurgery, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
,
Kuldeep Yadav
1   Department of Neurosurgery, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
,
Mohammad Kaif
1   Department of Neurosurgery, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
,
Rakesh Kumar Singh
1   Department of Neurosurgery, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
› Author Affiliations
› Further Information
   Permissions and Reprints

Abstract

Frontal sinus fractures account for 5 to 15% of craniofacial trauma. Road traffic accidents account for most of the cases. Combined injury of the anterior and posterior table with nasofrontal outflow tract contributes to 67% of craniofacial trauma. We here present an interesting case of a 33-year-old male patient with a traumatic left frontal sinus fracture with a unique presentation of a cutaneous–frontonasal fistula. Treatment algorithms for the management of frontal sinus fractures have been proposed in the past but they should be tailored to the need of the individual patient. Obliteration of the frontonasal outflow tract should be advocated in these cases as they minimize complications.

Keywords

frontal sinus fracture - frontonasal outflow tract - craniofacial injury - road traffic accidents - anterior table fracture - frontonasal cutaneous fistula


Publication History

Article published online:
18 January 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Echo A, Troy JS, Hollier Jr LH. Frontal sinus fractures. Semin Plast Surg 2010; 24 (04) 375-382
    Article in Thieme ConnectPubMedGoogle Scholar
  • 2 Schlosser RJ, Bolger WE. Nasal cerebrospinal fluid leaks: critical review and surgical considerations. Laryngoscope 2004; 114 (02) 255-265
    CrossrefPubMedGoogle Scholar
  • 3 McGuire TP, Gomes PP, Clokie CM, Sándor GK. Fractures of the supraorbital rim: principles and management. J Can Dent Assoc 2006; 72 (06) 537-540
    PubMedGoogle Scholar