Small supracilliary incision for the management of fracture of supraorbital rim and anterior wall of frontal sinus

Abstract

With the development of biomedical materials and new techniques in craniofacial sinus surgery, the management of frontal sinus fractures is advanced considerably. We discuss a case of fracture of anterior wall of frontal sinus that was also associated with fracture of the supra-orbital rim and describe supracilliary approach through a small incision (approximately 3 cm) used for the management in this case. With this approach we could successfully expose and reduce the fracture fragments without the need for coronal incision, endoscope or intra-operative imaging.