Overview
Frontal bone fractures are common facial injuries often requiring surgical intervention for proper reconstruction, particularly when involving the frontal sinus or supra-orbital rim 1.Diagnosis
Clinical examination focusing on deformity, swelling, and ecchymosis over the frontal region.
Imaging: CT scan is essential for detailed assessment of fracture lines, displacement, and involvement of the frontal sinus 1.Management
Open Reduction and Internal Fixation (ORIF): Traditional coronal flap approach can lead to complications like scarring and alopecia; alternative techniques include endoscopic methods through the eyebrow.
Zig-Zag Incision Technique: A novel trichophytic zig-zag incision through the eyebrow minimizes scarring while maintaining adequate surgical access 1.Special Populations
Pediatrics: Specific techniques and considerations for pediatric frontal bone fractures are not detailed in the provided abstracts 1.
Elderly: No specific management adjustments mentioned for elderly patients in the abstracts 1.
Comorbidities: Management strategies tailored to comorbidities (e.g., osteoporosis) are not addressed in the abstracts 1.Key Recommendations
Consider a zig-zag trichophytic incision through the eyebrow for open reduction and internal fixation to reduce scarring risk while maintaining surgical access (Evidence: Expert opinion) 1.
Utilize CT imaging for comprehensive evaluation of frontal bone fractures to guide surgical planning (Evidence: Moderate) 1.
Explore endoscopic techniques through the eyebrow to minimize cosmetic complications, though access limitations should be acknowledged (Evidence: Moderate) 1.References
1 Dilworth D, Johnston D, McAuley D, Gordon P. A trans-eyebrow zig-zag approach for frontal bone fractures. Journal of stomatology, oral and maxillofacial surgery 2024. link