Management of frontal bone fractures in a resource challenge setting: A report of 2 cases and literature review

Abstract

Traumatic injuries to the frontal bone and sinus, can lead to severe life-threatening complications due to their closeness to critical intracranial and orbital structures. These injuries can significantly impact both function and appearance. When depressed fractures of the frontal bone occur, especially in high-velocity maxillofacial trauma, it results in obvious facial deformity if not properly addressed. Treatment options are diverse, ranging from conservative measures to open reduction and internal fixation utilizing plates and screws, use of mesh, acrylic, and tailored to the injury nature, context, available resources and operators expertise. We present two compelling cases of depressed frontal bone fractures (FBFs) involving the anterior table. In these instances, fractures were effectively reduced and stabilized using titanium mesh and mini plates. Both cases resulted in excellent surgical outcomes, with smooth postoperative recovery and no complications. This study highlights the successful management of FBFs in a resource-limited setting and also offers a concise review of pertinent literature. Open reduction and internal fixation with titanium mesh or miniplates stand out as robust options for managing FBFs, effectively restoring the natural contour of the forehead and minimizing long-term complications.

Disclaimer: This article was originally published by WisdomGale Publishing, 14 Rue de Grand-Bigard, 1082 Brussels, Belgium, and was migrated to International Medical Publishing Group(IMPG), India after the change of Publisher.