Forehead region is the most vulnerable area of the head and forehead bone fractures are very common. Special x-rays called CT scans are used to evaluate fractures and brain involvement and to help plan the surgical reconstruction procedure. Depending on the severity of the fractures, reconstruction is done. The ultimate aim is to achieve as good a functional and cosmetic outcome as possible.
The frontal bone or bone of the forehead lodges air-filled space cavities called the frontal sinus. During injuries of the forehead, the walls of the frontal sinus may be fractured. These cases necessitate accurate diagnosis, avoidance of short and long term complications, precise treatment and return of normal sinus function.
Trauma to the temporal area (sides of the forehead) may be critical. As the area involves the ears, complications from such fractures lead to hearing loss or vertigo (feels like the room is spinning around). Although the vertigo may resolve over time, the hearing loss, most of the time, if untreated or inadequately treated, persists. As this part of the face includes the nerves that supplies the entire facial muscles, damage in this area may culminate as Facial Nerve palsy or loss of expression and control of facial expression.
All these conditions need to be properly assessed. Appropriate treatment and therapies need to be instituted based on the extent of damage, duration of swelling, extent of loss of function and other vital parameters.
Seen here are photographs of 3 patients who suffered serious injuries to their forehead and were successfully treated in our hospital.