Research Article
Management of Frontal Sinus Fractures Connecting the Sinus Cavity and the Endocranium
Henri Lankoande*
,
Denlewende Sylvain Zabsonre,
Pacome Yameogo,
Bievianda Vincent Ili,
Yacouba Haro,
Abdoulaye Sanou,
Inoussa Zoungrana,
Céline Lucie Bambara,
Boureima Kinda,
Abel Kabre
Issue:
Volume 10, Issue 1, June 2026
Pages:
1-8
Received:
2 June 2026
Accepted:
15 June 2026
Published:
17 July 2026
Abstract: Introduction. Frontal sinus fractures connecting sinus cavity and endocranium without neurological clinical expression or intracranial CT scan injury are "falsely" considered benign especially when no liquorrhea has been objectified. However, because of naso frontal canal presence and the frontal sinus cavity septic nature, these fractures are most often responsible for very serious complications (infections, pneumencephaly) causing sequelae (psychological disorders) most often very disabling even after surgical management. The purpose of this work was to report our therapeutic attitude and evolution of patients. Method. This was a descriptive, analytical retrospective study covering 3 years in the neurosurgery department of the Yalgado Ouedraogo University Hospital in Ouagadougou. All cases of frontal sinus fractures connecting sinus cavity and endocranium with a "workable medical record" were included. Results. We included 47 patients. Average intake rate was 05 days (1 hour - 6.3 months). At admission, 5 patients (10.6%) had febrile meningeal disease. A CT scan made it possible to objectify a compressive pneumencephaly in 9 cases (19.1%), a brain abscess in 2 cases (4.3%). Surgery was performed in 16 patients (34.0%). Incision was made in a frontal skin fold in 10 cases (21.3%). After 3 months and 6 months follow-upf, there were respectively more complications (p=0.0 00017) and more very disabling sequelae (p = 0.016) among non-operated cases. Conclusion. Complications and sequelae were greater among non-operated patients. It is better to cranialize all this types of fractures as quickly as possible through an incision in a frontal skin fold that was the most efficient.
Abstract: Introduction. Frontal sinus fractures connecting sinus cavity and endocranium without neurological clinical expression or intracranial CT scan injury are "falsely" considered benign especially when no liquorrhea has been objectified. However, because of naso frontal canal presence and the frontal sinus cavity septic nature, these fractures are most...
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Research Article
Report on Neurosurgical Activity in the Surgical Emergency Department of the Bogodogo University Hospital Center in Ouagadougou From 2024 to 2025
Henri Lankoande*,
Ouedraogo Narcisse Wendpuire Mike,
Bonkian Gnounsiniyapoue,
Haro Yacouba,
Inoussa Zoungrna,
Tall Mohamed,
Denlewende Sylvain Zabsonre
Issue:
Volume 10, Issue 1, June 2026
Pages:
9-14
Received:
4 August 2026
Accepted:
17 August 2026
Published:
9 September 2026
Abstract: Objective. The objective of our work was to present the results of neurosurgical activity in the surgical emergency department of the Bogodogo University Hospital Center in Ouagadougou over two years. Patients and methods. We conducted a retrospective descriptive cross-sectional study from January 1, 2024, to December 31, 2025. All patients diagnosed based on clinical and/or paraclinical data during the study period were included. The parameters studied were epidemiological, diagnostic, surgical and evolutionary. Results. A total of 1097 patients were included in the study. The mean age of our patients was 29.67 years, with a range from 4 months to 70 years. The sex ratio was 2.04. Tradespeople and students were the most represented socio-professional categories, with 403 cases (36.73%) and 375 cases (34.18%), respectively. Traumatic pathology was the most frequent in surgical emergencies and concerned 657 patients (59.90%) followed by degenerative pathology of the spine which was found in 209 patients (19.05%). The circumstances surrounding the occurrence of the head injuries were dominated by road traffic accidents and falls from height, respectively present in 401 patients (61.03%) and 111 patients (16.89%). Surgical treatment was performed in 12.67% of patients. The pathologies operated on were predominantly cases of head trauma, with 46 patients (33.09%). After an average follow-up of 12 months, the post-operative outcome was favorable with no sequelae in 62.58%, 7.91% neurological sequelae and 5.03% death. Conclusion. Neurosurgical activity in the surgical emergency department of Bogodogo University Hospital plays a significant role in the provision of specialized care, with nearly one in five patients admitted for a neurosurgical condition. Head injuries are the most common ailment, and road traffic accidents remain the leading cause. Strengthening human, material and organizational capacities appears essential in order to further improve neurosurgical care at the Bogodogo University Hospital and in Burkina Faso.
Abstract: Objective. The objective of our work was to present the results of neurosurgical activity in the surgical emergency department of the Bogodogo University Hospital Center in Ouagadougou over two years. Patients and methods. We conducted a retrospective descriptive cross-sectional study from January 1, 2024, to December 31, 2025. All patients diagnos...
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