Fractures of the frontal sinus usually occur due to high-velocity trauma. They constitute 5-15% of all facial fractures The most common etiologies of frontal bone fractures are motor vehicle accidents, falls, falling objects, assaults, and penetrating objects. Treatment guidelines for frontal sinus fractures aren't universal since many factors should be considered before choosing a treatment plan for every patient. Complications of frontal sinus fractures are numerous and can be subdivided depending on chronicity, into acute (less than 6 weeks), and chronic (more than 6 weeks).
Patients and methods:A retrospective study included 256 patients diagnosed with frontal sinus fractures. Age ranges from 7 to 73 years, all cases were treated at Assiut University Hospitals. Records of all patients including demographic data, mechanism of injury, associated injuries, general condition, presence of CSF leakage, treatment plan, the result of treatment, and follow-up data for 5 years were collected from the maxillofacial outpatient clinic.Results: Regarding the most common causes of frontal sinus fractures, road traffic accidents were the most common cause of frontal sinus fractures accounting for 125 patients (49 %), followed by being hit by hard objects in 53 patients (21%), falling from height in 44 patients (17%), and other injuries in 34 patients (13%). For fracture patterns, About 121 (47.2%) patients had isolated frontal sinus fractures, 85 (22.6%) patients had other facial injuries, and 50 (19.5%) patients were polytraumatized with other orthopedic fractures. Moreover, 135 patients (53%) had anterior table fractures, 79 patients (31%) had both anterior and posterior table fractures and (16%) of patients had posterior table fractures. In this study, 95 patients (37.1%) were treated conservatively, and 161 (112)