The management of fractures involving the paranasal sinuses is similar to the surgical procedures followed in radical sinus surgery. In fact, the most common complication of these fractures is sinusitis. The rhinologist is best prepared to handle these fractures, and by obtaining good results he can convince the general surgeon that these cases belong to his specialty. Today an increasing proportion of hospital emergency cases are head injuries, the results of accidents during rapid transportation, industrial injuries and those obtained from bodily violence.
The majority of the fractures of the facial bones exclusive of the simple nasal bone fractures, extend into the maxillary, frontal or ethmoidal sinus. The sinus involved fills with blood, which readily becomes infected.
The basis of treatment is the replacement of the bony fragments, and the drainage of the sinus entered. This will restore the features.
"The superior maxillae are the largest bones of
SHEA JJ. THE MANAGEMENT OF FRACTURES INVOLVING THE PARANASAL SINUSES. JAMA. 1931;96(6):418-421. doi:10.1001/jama.1931.02720320018004