Frontal bone fractures.
The aim of this retrospective study was to evaluate the epidemiology, treatment, and complications of frontal bone fractures associated, or not, with other facial fractures. This evaluation also sought to minimize the influence of the surgeon's skills and the preference for any rigid internal fixation system. The files from 3758 patients who attended the Oral and Maxillofacial Surgery Department of the School of Dentistry of Ribeirao Preto, University of Sao Paulo, from March 2004 to November 2011 and presented with facial trauma were scanned, and 52 files were chosen for the review. Eleven (21.15%) of these patients had pure fractures of the frontal bone, and trauma incidence was more prevalent in men (92.3%), whites (61.53%), and adults (50%). Despite the use of helmets at the moment of the trauma, motorcycle crashes were the most common etiological factor (32.69%). Fracture of the anterior wall of the frontal sinus with displacement was the main injury observed (54.9%), and the most common treatment was internal fixation with a plate and screws (45.09%). Postoperative complications were observed in 35.29% of the cases. The therapy applied was effective in handling this type of fracture, and the success rate was comparable to that reported in other published studies.
From the *School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil, and †Department of Oral and Maxillofacial Surgery and Periodontology, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
Bruno Henrique
BH
Marinheiro
Eduardo Henrique Pantosso
EH
de Medeiros
Cássio Edvard
CE
Sverzut
Alexandre Elias
AE
Trivellato
D000063:Accidents, Traffic / Q000706:statistics & numerical data; D000293:Adolescent; D000328:Adult; D000368:Aged; D001860:Bone Plates / Q000706:statistics & numerical data; D001863:Bone Screws / Q000706:statistics & numerical data; D001938:Brazil / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D005147:Facial Bones / Q000293:injuries; D005260:Female; D005593:Fracture Fixation, Internal / Q000706:statistics & numerical data; D005624:Frontal Bone / Q000293:injuries*; D005626:Frontal Sinus / Q000293:injuries; D006801:Humans; D015994:Incidence; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D009049:Motorcycles / Q000706:statistics & numerical data; D011183:Postoperative Complications / Q000453:epidemiology; D015995:Prevalence; D012189:Retrospective Studies; D012737:Sex Factors; D012887:Skull Fractures / Q000453:epidemiology*; D055815:Young Adult