Frontal sinus fracture: Difference between revisions
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==Background== | |||
*Requires high-energy | *Requires high-energy | ||
**Must rule-out TBI, additional fx, and cervical spine injury | **Must rule-out TBI, additional fx, and cervical spine injury | ||
Revision as of 17:52, 11 June 2012
Background
- Requires high-energy
- Must rule-out TBI, additional fx, and cervical spine injury
- 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
- Assess anterior and posterior tables
- Head CT indicated if suspect fracture
- 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
- Sinus involvement?
See Also
Source
Tintinalli's