Facial Fractures

FACTS

 

HPI

 

PHYSICAL EXAM

  • provoke CSF leak
    • patients will often be in cervical or TLS spine precautions, this is not a reason to not test. Can still roll over patient on their side/belly

IMAGING

  • frontal sinus fx: evaluate whether anything beyond anterior wall is injured
A/P
Counsel: risks of unrepaired facial fractures: infection, mucocele, sinusitis

Indications for repair of anterior frontal sinus fractures:
  • cosmetic deformity
  • if injuries past just the anterior wall
 
Look closely at violation of anterior or posterior walls of frontal sinus
notion image