Delayed endoscopic repair should be considered in patients with isolated fractures, limited to the anterior table who continue to have a cosmetic contour deformity after 3-4 months of observation and do not demonstrate any obstructive signs of sinus pathology.
Endoscopic repair of anterior table frontal sinus fractures is a recently developed technique aimed at delayed repair of limited fractures through a minimally invasive approach.
The benefits include limited incisions. The fractures are observed for 3-4 months and allowed to heal. Only those patients with an esthetic deformity and who desires surgical repair are treated with an onlay graft to camouflage the defect.