TY - JOUR PY - 2006// TI - Frontal sinus fractures: a 28-year retrospective review JO - Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery A1 - Strong, E. Bradley A1 - Pahlavan, Nima A1 - Saito, David SP - 774 EP - 779 VL - 135 IS - 5 N2 - OBJECTIVES: To analyze 202 consecutive frontal sinus fracture (FSF) patients treated between 1974 and 2002 at the University of California, Davis. METHODS: A retrospective chart review was performed, including all patients with frontal sinus fractures from 1987 to 2002. This and 72 previously reported patients (1974-1986) were analyzed, comparing age, gender, fracture type, associated fractures, procedure type, and complications. RESULTS: Frontal sinus fractures resulting from motor vehicle accidents (MVAs) decreased from 71% to 52% (P < 0.05). Fractures from assaults increased from 9% to 21% (P < 0.05). The incidence of "through and through" fractures decreased from 40% to 11% (P < 0.05). Whereas combined anterior/posterior table fractures increased from 36% to 57% (P < 0.05). CONCLUSION: The etiology and severity of FSF has changed from 1974 to 2002. This is reflected in a reduced number of fractures resulting from MVAs as well as a reduced severity of injury. The most likely explanation is the use of safety belts and airbags.
Language: en
LA - en SN - 0194-5998 UR - http://dx.doi.org/10.1016/j.otohns.2006.03.043 ID - ref1 ER -