Endoscopic Reduction of Anterior Wall Frontal Sinus Fractures : A Case Report

Traditionally, the repair of displaced anterior wall fractures of the frontal sinus has involved open reduction and internal fixation. Recent development of instrument and techniques for endoscopic brow-lifting has allowed access to anterior wall fractures of the frontal sinus without the need for a coronal incision. A 32-year-old man presented with a depressed anterior wall of the frontal sinus and underwent endoscopic reduction of the fracture. Through two small incisions above the hairline, an endoscope and instruments were inserted after the elevation of the forehead skin over the depressed anterior wall. Depressed bone fragments were successfully reduced with a bone hook inserted through a small incision over the forehead. The authors report this case with a brief literature review focusing on the endoscopic reduction of the anterior wall fracture of the frontal sinus. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:92-4)