Surgical Treatment of Closed Fracture of the Anterior Wall of the Frontal Sinus with Displacement by the ORIF Technique using a Titanium Plate: A Case Report

Abstract

Fractures associated with anterior and posterior frontal sinus walls are among the most challenging cranio-maxillofacial injuries. These represent a major emergency, having a potentially severe clinical picture, with intracranial hemorrhage, cerebrospinal fluid leak, meningeal lesions, pneumocephalus, contusion or laceration of the brain matter, coma, and in some cases, death. In this article, we present the case of a 32-year-old patient with the diagnosis of: Closed fracture of the anterior wall of the frontal sinus with displacement, fracture of the posterior wall of the frontal sinus without displacement and impairment of the upperface bone architecture. Despite the severity and complexity of the case, early initiation of correct ENT surgery, using ORIF (open fracture alignment and internal fixation) technique, led to the successful reconstruction and redimensioning of upperface architecture and to the restoration of the patient’s physiognomy. This article describes a case report on the use of titanium plates for the reconstruction of the upper aesthetic area of the face. The article also describes the use of the ORIF technique, its description, and its advantages, as well as a literature review in order to show its advantages in the avoidance of postoperative complications. The purpose of the work is to describe a new technique that helps to avoid aesthetic and functional complications in the future, which will be useful to otorhinolaryngologists and maxillofacial surgeons.