Free Combine PDF 4dots Free Combine PDF 4dots is a free utility to save documents as PDFs.[Rhino-orbital injuries]. The frontal sinus and the ethmoidal cells are the two most commonly injured areas in patients with rhino-orbital injuries. The aim of this study was to present the treatment and follow-up of these injuries. Rhinosurgery techniques, new implants and the established indication to primary or delayed intervention and their impact on the therapeutic outcome are reviewed. Retrospective case series. In a 2.5-year period, 23 patients (17 men, 6 women) with rhino-orbital injuries were treated at our hospital. Fifteen patients had isolated injuries of the frontal sinus, four patients of the frontal sinus and ethmoidal cells, four patients of the frontal sinus, maxillary sinus, and ethmoidal cells, one patient of the frontal sinus and the sphenoid sinus, and one patient of the frontal sinus, nasal septum and ethmoidal cells. One patient had been treated with a silastic sheet graft after an infection following an isolated frontal sinus injury. Seventeen patients underwent an early intervention (in most patients within 3 days) including at least frontal sinus and ethmoidal cells endoscopy. Three patients underwent a late intervention (8-15 months) for frontal sinus and ethmoidal cells injuries or a combination of injuries. After the early intervention, all but one patient had a good outcome (95%). After the late intervention, the outcome was excellent in one patient, good in two patients, and poor in one patient. Simultaneous ethmoidal cells injury and frontal sinus injury is rare and usually is caused by a zygomatico-orbital fracture. For the initial treatment of frontal sinus injuries, a combined approach (endoscopic and endonasal) might be superior to the strategy with endoscopy only. Therefore, an early endoscopic intervention seems advisable in cases of isolated frontal sinus injuries. 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