Frontal Sinus Fractures

Gabriel C. Tender, Arnett Klugh, Min S. Park, Robert M. Laughlin, Christopher J. Haggerty

Research output: Chapter in Book/Report/Conference proceedingChapter


The frontal sinus begins to develop at age 6 and is completely developed by age 12-16. The floor of the frontal sinus is formed medially by the ethmoid bones and laterally by the supraorbital roof. The entire frontal sinus is covered by pseudostratified ciliated respiratory epithelium. Local anesthesia containing epinephrine is injected along the incision line, and tumescent solution is deposited within the loose areolar plane in order to further aid in hemostasis and to hydrodissect this layer from the underlying pericranium. It is recommended that three-pin Mayfield skull fixation is utilized to prevent movement of the head during craniotomy. It is also recommended that abdominal fat grafts be taken from the lower left quadrant as scars to the right upper quadrant may mimic cholecystectomy incisions and scars to the right lower quadrant may mimic appendectomy incisions.

Original languageEnglish (US)
Title of host publicationAtlas of Operative Oral and Maxillofacial Surgery
Number of pages12
ISBN (Electronic)9781118993729
ISBN (Print)9781118442340
StatePublished - Jan 9 2015
Externally publishedYes


  • Abdominal fat grafts
  • Frontal sinus cranialization
  • Frontal sinus fractures
  • Frontal sinus obliteration
  • Mayfield skull fixation

ASJC Scopus subject areas

  • General Medicine


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