MANAGEMENT OF FRONTAL BONE FRACTURE USING CORONAL ACCESS

Resumo

Introduction: Fractures of the frontal bone originate from minor or high-intensity accidents. Various treatment modalities have been described, such as conservative treatment or osteosynthesis of the fracture. Objective: The objective of the present work is to report a surgical approach to a reduction and fixation of a panfacial fracture involving the frontal bone. In this work, coronal access was used for anatomical repositioning and reestablishment of the contour in the frontal region. No complications or sequelae were observed at approximately three months follow-up. Report: Female patient, 22 years old, was evaluated by the Oral and Maxillofacial Surgery and Traumatology team, in a reference hospital, with a history of an automobile accident, with multiple facial fractures. At the initial examination, the patient was conscious, hemodynamically stable and with all vital signs within normal limits. Computed tomography was performed, which indicated multiple fractures in the face, including in the frontal bone. In view of this, we opted for surgical treatment, which was performed through a bicoronal access, with reduction and rigid internal fixation of the multiple fractures on the face, including the frontal region, under general anesthesia, without intercurrences. Result: The aesthetic and functional reestablishment of the frontal region was obtained, maintaining the integrity of the anterior wall of the frontal sinus. Currently, the patient is four months after the operation, with resolution of the complaints, and the access site completely healed. Final considerations: Coronal access is a viable option for the aesthetic restoration of frontal sinus fractures, providing excellent intraoperative visibility and adequate healing.