Analysis of the prevalence and clinical course of fractures of the paranasal sinuses

The relevance of the problem under study is conditioned upon insufficient information on the prevalence and clinical course of fractures of the paranasal sinuses in Astana. The purpose of the study is to conduct a retrospective analysis of these injuries and to identify the prevalence and epidemiological features of fractures of the paranasal sinuses in the city of Astana. Initially, the study included the medical histories of patients for 2018-2023 of both sexes aged 8 to 84 years (a total of 314 people) who were diagnosed with a fracture of the paranasal sinuses. Out of the 314 cases, 293 met the inclusion and exclusion criteria. The medical records of these 293 cases (including medical histories and records of clinical examinations, medical images such as X-ray pictures, computerized tomography scans, and their reports) were thoroughly examined. Men aged 13-35 were the most frequently affected, and traffic accidents and motorcycle accidents were the most common causes of fractures. Nearly half of the patients (n = 160, 54.6%) received surgical treatment. Open reposition and internal fixation were performed in 87 patients (29.7%). 11% of patients had no treatment. The most frequent complication was an infection of a postoperative wound or tissue near a metal structure. The presented data have potential significance for the development of new strategies for injury prevention and the identification of patients at risk of postoperative complications