Sinus Surgery: Q&A
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Broken Sinus Cavity Due to Head Injury: is This Dangerous?
His head injury was severe, he has a fractured skull and bleeding in the brain. As we are primarily concerned about the other injuries, I didn't know how serious the sinus cavity injury is. He used to suffer from sinuses, so will this change that?
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Teresa in Dallas
in Dallas, TX
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Broken Sinus Cavity Due to Head Injury: is This Dangerous?
If he had frontal sinus injury, then yes, that needs to be addressed and the correction depends on what's injured. Frontal sinus fractures involve the anterior table usually, but can also involve the posterior table; in either case if displaced need immediate attention. If mucosa is trapped in the fracture line or the sinus outflow tract is blocked, then it can lead to mucocele formation.
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SINUSITIS AFTER HEAD INJURY
From the picture it looks as if the injury has been to the left forehead. He probably had a head CT which would show a fracture. In that location is the left frontal sinus which has the anterior table forming the part of the forehead you can feel. Behind the anterior table is an airspace lined by mucous membrane. The posterior table separates the sinus airspace and the brain cavity. Fractures through the anterior table are mostly cosmetic and don't...
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