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January 1954

TRAUMA TO THE FRONTAL SINUSES: Initial and Subsequent Care

Author Affiliations

From the Departments of Otorhinolaryngology, Stanford University Medical School, Fort Miley Veterans Hospital, and St. Luke's Hospital.

AMA Arch Otolaryngol. 1954;59(1):54-64. doi:10.1001/archotol.1954.00710050066007

IN JUNE, 1949, at Atlantic City, N. J., eight cases of injuries to the skull involving the frontal sinuses were presented before this Section.1 At that time it was concluded that serious complications could be reduced provided the fractured frontal and ethmoidal sinuses were completely eliminated surgically as a potential source of infection. It was further stated that at least six months should intervene between the sinus surgery and final cosmetic repair.

Patients with skull injuries are usually treated by neurosurgeons who have an outstanding record in this field. As otorhinolaryngologists, we are in a position to recommend and carry out treatment of associated injuries of the paranasal sinuses. This fact applies not only to the initial débridement,when performed, but also later surgical treatment, which is so often necessary.

Since that report in 1949, twelve additional cases with skull injuries involving the frontal and ethmoidal sinuses have been treated, and

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