Ver el código de «Frontal sinus fracture»

==Background==
*Requires high-energy
**Must rule-out TBI, additional fx, and cervical spine injury

==Diagnosis==
*Assess sinus involvement:
**Crepitus
**Laceration over fracture site is typical
*Imaging
**Head CT indicated if suspect fracture
***Assess anterior and posterior tables
****Through and through fx require sx to prevent pneumocephalus, CSF leak, infection
**If ant wall fx need CT to evaluate posterior wall (75% have both walls fractured)

==Differential Diagnosis==
{{Maxillofacial trauma DDX}}

==Management==
*Sinus involvement?
**If yes then give 1st gen cephalosporin or amoxicillin clavulanate
*Isolated anterior table fx?
**D/C w/ facial surgeon f/u
*Depresed fx?
**Admit for IV abx and operative repair

*Need neurosurg or ENT for posterior wall fx since many need surgery and IV abx

==See Also==
*[[Maxillofacial Trauma]]

==Source==
Tintinalli's

[[Category:ENT]]
[[Category:Orthopedics]]
[[Category:Trauma]]