Management of frontal bone fracture in a resource challenge setting: Case report and literature review

Ille-ogedengbe  Bruno; Mujtaba Bala; Ramat Oyebunmi Braimah; Abdulrazaq Olanrewaju Taiwo; Abdulhakeem Abdullateef; Ahmad Mukhtar Modibbo

doi:10.5455/JSRR.20250611053147

Abstract
Traumatic injuries to the frontal bone and sinus, can lead to severe life-threatening complications due to their closeness to critical intracranial and orbital structures. These injuries can significantly impact both function and appearance. When depressed fractures of the frontal bone occur, especially in high-velocity maxillofacial trauma, it results in obvious facial deformity if not properly addressed. Treatment options are diverse, ranging from conservative measures to open reduction and internal fixation utilizing plates and screws, use of mesh, acrylic, and tailored to the injury nature, context, available resources and operators expertise
We present two compelling cases of depressed frontal bone fractures involving the anterior table. In these instances, fractures were effectively reduced and stabilized using titanium mesh and mini plates. Both cases resulted in excellent surgical outcomes, with smooth postoperative recovery and no complications. This study highlights the successful management of frontal bone fractures in a resource-limited setting and also offers a concise review of pertinent literature. Open reduction and internal fixation with titanium mesh or miniplates stand out as robust options for managing frontal bone fractures, effectively restoring the natural contour of the forehead and minimizing long-term complications.

Key words: frontal bone, fracture, mesh, Open reduction