• Abdullah M Alshahrani, Nedal Abu Mostafa, Feras Almoslem, Ayman Alothman, and Fares Alrawashdeh.
• From the Department of Oral and Maxillofacial Surgery (Alshahrani), King Abdullah Hospital, Bisha, from the Department of Oral and Maxillofacial Surgery and Diagnostic Sciences (Abu Mostafa), Riyadh Elm University, from the Department of Oral and Maxillofacial Surgery (Almoslem, Alothman, Alrawashdeh), King Saud Medical City, Riyadh, Kingdom of Saudi Arabia.
• Saudi Med J. 2024 Jun 1; 45 (6): 585590585-590.

ObjectivesTo assess the prevalence of various frontal sinus fractures (FSF) and examine the relationships between these fractures, types of treatments, and potential complications.MethodsA retrospective study was carried out in King Saud Medical City, Riyadh, Saudi Arabia. The study analyzed the records of patients who were diagnosed and treated with FSF from 2011-2021. Files with missing documents or incomplete treatment were excluded. The retrieved data includes: patients age, gender, types, locations, treatment, and complications of FSF. Data was analyzed by the statistical Package for the Social Sciences Statistics, version 23.0 using descriptive statistics and Chi-square test.ResultsA total of 72 cases were included, 94.4% males and 5.6% females. Road traffic accidents were the common cause of trauma (91%). Frontal sinus fractures were unilateral in 59.7% and associated other injuries in 80.6% of cases. Anterior table fractures were the largest proportion (58.3%), followed by anterior and posterior table (37.5%). The carried out surgical procedures were obliteration (23.9%), cranialization and obliteration (23.9%), and fixation only (52.2%). The post-operative complications were categorized into; neurological (22.2%), ophthalmic (15.3%), infection (2.8%), and deformity (16.7%). Anterior and posterior table had the highest percentage among these categories.ConclusionFrontal sinus fractures were mostly required surgical treatment (63.9%) and post-operative complications occurred especially the neurological and ophthalmic. We recommend studies on the association of complications and different types of obliteration materials.Copyright: © Saudi Medical Journal.

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