Author(s)

Arsène Coulibaly^1*, Patrik Gane-Bang², Joseph Wend-Toin Biogo³, Ibraïma Traoré⁴, Tarcissus Konsem⁵

¹Department of Maxillofacial Surgery, Regional University Hospital Centre of Ouahigouya, Ouahigouya, Burkina Faso.
²Department of Stomatology and Maxillofacial Surgery, Regional Hospital Centre of Banfora, Banfora, Burkina Faso.
³Department of Neurosurgery, Regional University Hospital Centre of Ouahigouya, Ouahigouya, Burkina Faso.
⁴Department of Stomatology and Maxillofacial Surgery, Souro SANOU University Hospital Centre, Bobo Dioulasso, Burkina Faso.
⁵Department of Stomatology and Maxillofacial Surgery, Yalgado OUEDRAOGO University Hospital Centre, Ouagadougou, Burkina Faso.

Introduction: Frontal sinus fractures are potentially serious. They are defined as a solution of continuity, open or closed, of one or both bone tables of the frontal sinus. This study aims to report on the management of them at the Yalgado OUEDRAOGO University Hospital Centre. Methodology: It is a descriptive cross-sectional study with retrospective collection from January 01, 2016 to December 31, 2018. Patients with frontal sinus fractures were managed at the Yalgado OUEDRAOGO University Hospital Centre through CT-scan proof. Results: Over three years, a total of 102 cases of frontal sinus fractures were collected with 29.9 years as average age. There were 96 men. Workers in the informal sector and pupils/students represented 58.90% of patients. The residence of the patients was urban in 68.80% of cases and rural in 31.40%. Road traffic accidents (RTAs) happened in 90.20%, and involved 2-wheelers in 98.20%. None of these drivers was wearing a helmet. The type III frontal fracture of Ioannides et al. represented 51.9% of cases. In 89.21% of cases, other facial and/or cranioencephalic injuries were compounded to frontal sinus fractures. No surgical management was observed in 82 (80.39%) patients and surgical management in 20 (19.61%) patients. The outcome was favourable, but sequelae and/or complications were noted in 10 patients who had surgery and 30 patients who did not. Conclusion: These results enforce helmet wearing for all riders of two-wheeled machines. In addition, vaccinations to prevent meningitis in frontal sinus fractures with dural breach should be systematic.

Management, Frontal Sinus Fracture, Burkina Faso

Coulibaly, A. , Gane-Bang, P. , Biogo, J. , Traoré, I. and Konsem, T. (2024) Frontal Sinus Fractures: Management at the Yalgado Ouedraogo University Hospital Centre (Burkina Faso). Open Journal of Stomatology, 14, 42-54. doi: 10.4236/ojst.2024.141004.