Trauma is an occupational hazard of childhood. In most cases, the trauma sustained by children is relatively minor and does not require emergency or operative management. Although head and facial trauma to young children and adolescents is relatively common, rarely does it result in sinus fractures,particularly to the frontal sinuses. The incidence of frontal sinus fractures following trauma is related to the age of the child and the type and mechanism of injury. Diagnosis and management of the child who is suspected of having a frontal sinus fracture require an understanding of sinus development and anatomy.

Trauma severe enough to fracture a frontal sinus generally results from a high-impact collision between the child’s head and face and a moving object, such as a thrown or hit ball, a baseball bat, a fist, or most commonly, unrestrained propulsion into a stationary object such as a windshield or dashboard of a car...

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