Fractura de seno frontal: Estudio observacional descriptivo.

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Bibliographic Details
Title:	Fractura de seno frontal: Estudio observacional descriptivo.
Alternate Title:	Frontal Sinus Fracture: Descriptive Observational Study.
Authors:	Vargas F., Ilich¹, Chamorro V., Aracelli¹ apchamorro@miuandes.cl, Laporte W., Paulette¹, Barrientos M., Camilo¹, Pedemonte T., Christian¹, González M., Edgardo¹
Source:	Revista de Cirugia. 2025, Vol. 77 Issue 6, p582-590. 9p.
Abstract (English):	Objective: To describe the relationship between frontal sinus fractures and the treatment options used, the long-term complications, and the time lapsed between the treatment and onset of complications. Methods and Materials: Retrospective observational descriptive study on cases with frontal sinus fractures treated at Mutual de Seguridad Hospital between January 2018 and December 2024, with a descriptive analysis of data. Results: 52/686 (7,6%) patients with craniofacial trauma suffered a frontal sinus fracture, with 51 men and 1 woman affected, and an average of 43 years of age.15 patients (28,8%) had anterior table fractures, while 37 (71,2%) had fractures on both tables. 23 (44,2%) had a compromised frontal outflow tract (NFOT). 42 patients (80,8%) showed no complications, while 5 (9,6%) developed mucocele, 3 (5,8%) frontal abscesses and 2 (3,8%) had cerebrospinal fluid leaks. Mucoceles took 7 to 11 years to manifest, frontal abscesses between 10 months and 4 years, and leaks 1 month. Discussion: In this study, the incidence of frontal sinus trauma rounds 7,7% in all craniofacial trauma. The literature has tried to establish treatment guides, based on the consensus that treatment must be based on the affected structures. However, discrepancies between protocols remain. Conclusion: Treatment should be individualized based on the severity of the fracture and compromise of the NFOT, opting for conservative treatments in fractures of less gravity and aggressive approaches in complex cases. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Objetivo: Describir la relación entre fracturas del seno frontal, los tratamientos aplicados y las complicaciones a largo plazo asociadas y el tiempo transcurrido entre el tratamiento y la aparición de complicaciones. Materiales y Métodos: Estudio observacional descriptivo retrospectivo sobre casos de fractura de seno frontal tratados en Hospital Mutual de Seguridad entre enero 2018 y diciembre 2024, con análisis de datos descriptivos. Resultados: 52 de 686 (7,6%) pacientes con trauma craneofacial sufrieron fracturas de seno frontal, siendo 51 hombres y 1 mujer, con 43 años en promedio. 15 pacientes (28,8%) presentaron fractura de pared anterior y 37 (71,2%) fractura de ambas paredes. 23 (44,2%) tuvo compromiso del conducto nasofrontal (NFOT). 42 (80,8%) pacientes no presentaron complicaciones, mientras que 5 (9,6%) presentó mucocele, 3 (5,8%) abscesos frontales y 2 (3,8%) fístulas de líquido cefalorraquídeo. Los mucoceles tardan entre 7 y 11 años en manifestarse, los abscesos frontales entre 10 meses y 4 años y las fístulas 1 mes. Discusión: En este estudio, la incidencia del compromiso de seno frontal es del 7,7% en trauma craneofacial. La literatura ha intentado establecer guías de tratamiento, basándose en el consenso sobre la indicación del mismo en las estructuras afectadas. Sin embargo, existen discrepancias entre protocolos. Conclusión: Se debe individualizar el tratamiento según la severidad de la fractura y compromiso del NFOT, eligiendo técnicas conservadoras en lesiones menos graves y técnicas agresivas en casos complejos. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	Objective: To describe the relationship between frontal sinus fractures and the treatment options used, the long-term complications, and the time lapsed between the treatment and onset of complications. Methods and Materials: Retrospective observational descriptive study on cases with frontal sinus fractures treated at Mutual de Seguridad Hospital between January 2018 and December 2024, with a descriptive analysis of data. Results: 52/686 (7,6%) patients with craniofacial trauma suffered a frontal sinus fracture, with 51 men and 1 woman affected, and an average of 43 years of age.15 patients (28,8%) had anterior table fractures, while 37 (71,2%) had fractures on both tables. 23 (44,2%) had a compromised frontal outflow tract (NFOT). 42 patients (80,8%) showed no complications, while 5 (9,6%) developed mucocele, 3 (5,8%) frontal abscesses and 2 (3,8%) had cerebrospinal fluid leaks. Mucoceles took 7 to 11 years to manifest, frontal abscesses between 10 months and 4 years, and leaks 1 month. Discussion: In this study, the incidence of frontal sinus trauma rounds 7,7% in all craniofacial trauma. The literature has tried to establish treatment guides, based on the consensus that treatment must be based on the affected structures. However, discrepancies between protocols remain. Conclusion: Treatment should be individualized based on the severity of the fracture and compromise of the NFOT, opting for conservative treatments in fractures of less gravity and aggressive approaches in complex cases. [ABSTRACT FROM AUTHOR]
ISSN:	24524557
DOI:	10.35687/s2452-454920250062778