Broken Sinus Cavity Due to Head Injury: is This Dangerous?

Thank you for your question. This appears to be a complex problem that will require multiple specialists for a full diagnosis and treatment recommendation. If the frontal sinus cavity is injured, a board-certified otolaryngologist should be consulted to determine the extent of the injury. Surgery will likely be needed and there could be effects after the injury that may need additional treatment after the most severe problems are addressed. Best wishes for a full recovery. 

Thanks for your question. Unfortunately it is impossible to answer your question without being able to evaluate the patient or the scans. Generally speaking a frontal sinus fracture may be dangerous in that it can interfere with normal sinus drainage and predispose you to sinus infections. Additionally a benign but destructive growth may also form called a mucocele. Most importantly a sinus fracture can also be associated with a brain injury. Please discuss all of these concerns with your provider. Hope this helps. 

Thank you for your question and the photo.In and of themselves, skull fractures of any kind are serious - they are evidence of a significant trauma that can lead to brain injury and other problems.  Involvement of the sinuses (usually the frontal sinuses in the forehead) adds another layer of complexity to the problem that can often be even more concerning.  There are 2 major walls of the frontal sinus - the anterior table (just under the skin) and the posterior table (just outside the brain).  The frontal sinus is the air pocket that resides between these two tables.  In the event of a frontal sinus fracture, the question becomes which of those two tables is injured, and if the duct that drains fluid out of the sinus and allows air into the sinus (nasofrontal duct) is involved as well.If the fracture only involves the anterior table, and not the nasofrontal duct or the posterior table, then usually it's mainly a cosmetic concern.  If, however, there is involvement of either the nasofrontal duct or the posterior table, then surgery is necessary to avoid more serious problems like meningitis, encephalitis, or other infections in the brain.Ultimately, you would be best-served by an in-person consultation with a board-certified otolaryngologist / ENT surgeon who can fully evaluate the injury, the scans, and determine the best course of action.Best wishes.