PMID- 17071311 OWN - NLM STAT- MEDLINE DCOM- 20061222 LR - 20061030 IS - 0194-5998 (Print) IS - 0194-5998 (Linking) VI - 135 IP - 5 DP - 2006 Nov TI - Frontal sinus fractures: a 28-year retrospective review. PG - 774-9 AB - OBJECTIVES: To analyze 202 consecutive frontal sinus fracture (FSF) patients treated between 1974 and 2002 at the University of California, Davis. METHODS: A retrospective chart review was performed, including all patients with frontal sinus fractures from 1987 to 2002. This and 72 previously reported patients (1974-1986) were analyzed, comparing age, gender, fracture type, associated fractures, procedure type, and complications. RESULTS: Frontal sinus fractures resulting from motor vehicle accidents (MVAs) decreased from 71% to 52% (P < 0.05). Fractures from assaults increased from 9% to 21% (P < 0.05). The incidence of "through and through" fractures decreased from 40% to 11% (P < 0.05). Whereas combined anterior/posterior table fractures increased from 36% to 57% (P < 0.05). CONCLUSION: The etiology and severity of FSF has changed from 1974 to 2002. This is reflected in a reduced number of fractures resulting from MVAs as well as a reduced severity of injury. The most likely explanation is the use of safety belts and airbags. FAU - Strong, E Bradley AU - Strong EB AD - Department of Otolaryngology, University of California, Davis School of Medicine, 2521 Stockton Blvd, Ste 7200, Sacramento, CA 95817, USA. FAU - Pahlavan, Nima AU - Pahlavan N FAU - Saito, David AU - Saito D LA - eng PT - Journal Article PL - England TA - Otolaryngol Head Neck Surg JT - Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery JID - 8508176 SB - IM MH - Accidents, Traffic MH - Adolescent MH - Adult MH - Aged MH - California/epidemiology MH - Child MH - Female MH - Frontal Sinus/*injuries MH - Humans MH - Male MH - Middle Aged MH - Retrospective Studies MH - Seat Belts MH - Skull Fractures/complications/*epidemiology/prevention & control/surgery MH - Violence EDAT- 2006/10/31 09:00 MHDA- 2006/12/23 09:00 CRDT- 2006/10/31 09:00 PHST- 2005/11/21 00:00 [received] PHST- 2006/03/28 00:00 [accepted] PHST- 2006/10/31 09:00 [pubmed] PHST- 2006/12/23 09:00 [medline] PHST- 2006/10/31 09:00 [entrez] AID - S0194-5998(06)01381-7 [pii] AID - 10.1016/j.otohns.2006.03.043 [doi] PST - ppublish SO - Otolaryngol Head Neck Surg. 2006 Nov;135(5):774-9. doi: 10.1016/j.otohns.2006.03.043.