Introduction: The frontal sinus is classified as a type of paranasal sinus. It is one of the four pairs of paranasal sinuses. The paranasal sinus is a hollow space in the bones surrounded by the nose. The frontal sinuses are aligned with cells that create mucus in order to prevent the nose from drying out. Preserving the anatomy and function of the frontal sinus is paramount. Frontal sinus fractures are categorized anatomically (anterior wall, posterior wall, and drainage system) and by the measurement of displacement.  Majority of frontal sinus fractures result from traumas due to falls, assaults, and motor vehicle accidents. A well-planned management strategy is critical in order to minimize patient morbidity.  Management of frontal sinus fractures is highly variable. The intent of surgical management is to reconstruct the cranial base anatomy to prevent meningitis and mucocele to form, while maintaining the patient’s cosmetic makeup. However, surgical management has had the tendency to lead to CSF leaks. Research has shown that 10 to 17 percent of patients who have undergone serve CSF leaks following their surgery. However, surgeons debrief whether nonsurgical management is a better mechanism, as there is a chance of developing meningitis, brain abscesses, CSF rhinorrhea, or other varying complications. To this date, little has been acknowledged regarding the natural history of fractures of the posterior wall of the frontal sinus and subsequent need for cranialization (removal of the disrupted posterior wall). In an attempt to identify management techniques for frontal sinus fractures, this study compares surgical management and conservatively managed groups, focusing on fracture morphology, development of cerebrospinal fluid (CSF), mucocele, or other related infections and complications.    

Methods: The medical records of patients who underwent surgical management and conservative management of frontal sinus fractures in the last 14 years were reviewed and analyzed. Demographics, cause of fracture, reasoning for surgical management, complications that arise from surgical management verse conservative management, and perioperative measures were examined.  

Results: I am still in the process of collecting data, so no results have been cultivated yet.

Conclusion: My findings have not been analyzed yet, as I am still collecting data, so I have no concluding points.

Key Words: frontal sinus fracture, cranialization, CSF leaks, surgical management, conservative management, anterior wall, and posterior wall.