Browsing by Author "Shaye, David"

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    Management of Nasal Fractures
    (2025-03-08) Warinner, Chloe; Shaye, David
    The nasal bones are the most commonly fractured bones in the body, and account for more than half of facial fractures in adults. Patients who sustain nasal fractures are usually male (68%), with a median age of 38 years. Most often nasal fractures are a result of blunt facial trauma including motor vehicle collisions, assault, and sports injuries. Open nasal fractures, defined as fractures in which bone penetrates through the soft tissue, occur in approximately 5% of nasal fractures. While several classification systems have been proposed for nasal fractures, none are widely used in practice to guide management.
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    Surgical Management of Frontal Sinus Fractures
    (2025-05-06) Standford-Moore, Gaelen; Shaye, David
    The frontal sinus is a centrally located structure of functional and aesthetic importance. Fractures of the frontal sinus may occur by either blunt or penetrating trauma. The frontocranial bones have a greater thickness than their neighbouring parietal and temporal bones, as they are often subject to more forceful mechanisms of injury. For this reason frontal sinus injuries account for only 5-15% of maxillofacial injuries, and are predominantly caused by highspeed motor vehicle accidents, assaults or direct contact sports. Settings with road traffic safety laws, seatbelts, airbags, and helmet laws have significantly reduced rates of high-impact injuries. In regions with few traffic safety measures (e.g. helmet laws, seatbelt laws) frontal sinus fractures are frequently seen. Without proper treatment, frontal sinus fractures may lead to a wide array of complications including facial deformity, CSF leak, mucocoele and death. For these reasons, proper diagnosis and treatment of acute frontal sinus injuries remains an important part of treating head and neck trauma.