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Facial Plast Surg 2015; 31(04): 332-344
DOI: 10.1055/s-0035-1562886
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Frontobasal Fractures

Ralph Litschel
1   Department of Otorhinolaryngology—Head and Neck Surgery, Cantonal Hospital, St. Gallen, Switzerland
,
Thomas S. Kühnel
2   Division of Sinus and Skull Base Surgery, Department of Otorhinolaryngology, University Hospital Regensburg, Germany
,
Rainer Weber
3   Division of Sinus and Skull Base Surgery, Traumatology, Department of Otorhinolaryngology, Hospital Karlsruhe, Karlsruhe, Germany
› Author Affiliations
Further Information

Publication History

Publication Date:
15 September 2015 (online)

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Abstract

Frontobasal fractures occur in up to 24% of head injuries and often require a multidisciplinary approach. Besides the common bone fractures, the complex anatomy can cause damage to the sense of vision and smell. Further possibly lethal complications such as cerebrospinal fluid leak followed by meningitis or internal carotid bleeding can follow. Diagnostic and treatment options are reviewed with a focus on the endoscopic endonasal approach.

Keywords

frontobasal trauma - frontal sinus trauma - carotid trauma - cerebrospinal fluid leak - dural lesion - traumatic optic neuropathy - endoscopic endonasal
 

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