Author(s)
Andrew Petersen, DO
Fariha Farid, DO
Boris Karanfilov, MD
Richard Klapchar, DO
Affiliation(s)
Ohiohealth - Doctors Hospital
Abstract:
"Introduction
Frontal sinus fractures contribute to 5-15% of all facial fractures and their management deserves special attention due to the risk of short and long-term complications. The management algorithm for frontal sinus fractures is one that has been long debated with no clear consensus. More recently, there has been a trend towards restoration of normal sinus anatomy in place of the previous gold standard of frontal sinus obliteration. The evaluation, classification, and management of such injuries continue to be studied. As new technologies are developed it is important to apply them to the evolving treatment paradigms that exist.
We report the use of a balloon sinuplasty catheter in the correction of bilateral anterior table frontal sinus fractures in a 13-year-old male following sports injury.
Methods
Details of the case are reported as well as a review of the recent literature surrounding this topic.
Results
This is a case report about the use of balloon sinuplasty catheters in the reduction of bilateral anterior frontal sinus fractures. We were able to safely reduce the bilateral fractures with multiple balloon sinuplasty catheters, thus avoiding the need for frontal sinus obliteration. In addition, we were able to preserve the frontal sinus mucosa as well as patency of the frontal sinus outflow tract. He was followed for over one year postoperatively without signs of sinus obstruction or other complication.
Conclusion
In carefully selected patients, balloon sinuplasty catheters may be considered in the management of frontal sinus fractures with the aim of sinus preservation."