Management of Frontal Sinus Fractures

The goals in the treatment of frontal sinus injuries are to provide an esthetic outcome, restore function, and prevent complications. However, there is no consensus as to how to best achieve these goals. Unfortunately, the questions that Stanley proposed in 1989 still lack definitive answers more than 19 years later: (1) Which fractures, if left untreated, will lead to an immediate or delayed complication? and (2) What is the appropriate surgical procedure if treatment of the fracture is deemed necessary? This article discusses the controversies in the surgical treatment of such fractures and provides a scientific rationale for proper management.