Esthetic eyebrow approach for frontal sinus fractures reduction

Aim. In cranio-facial traumas, isolated fractures of frontal sinus anterior wall are peculiar for the mainly esthetic indication of reduction. In these traumas surgical treatment planning, the surgical approach has to be balanced with the clinical problem, respecting the aesthetic of the upper third of the face. Methods. The Authors present the results of a retrospective study obtained by the use of clinical criteria and a self-assessment test provided to the patients that presented a fracture of the anterior wall of the frontal sinus. Surgery was performed through a trans-cutaneous aesthetic eyebrow approach. Results. Postoperative CT scan showed appropriate reduction of displaced bone fragments in all cases. Conclusion. The surgical approach described is a safe procedure with minimal morbidity and can offer an excellent surgical approach in parallel with an excellent aesthetic result