A retrospective review of 96 patients who sustained frontal sinus fractrues between the years of 1980 and 1991 was presented. Ninty-one percent of frontal sinus fractures occurred in males and 68% were a result of motor vehicle accidents. The most common frontal sinus fracture was the isolated anterior table fracture (70%). Patients were treated with a variety of procedures including open reduction and internal fixation of the anterior wall (3%), cranialization (28%), sinus ablation (2%) and craniotomy (24%). Most patients (43%) received medical treatment due to liner nondisplaced anterior table fractures. Complications included CSF leakage (4%), forehead deformity (11%), osteomyelitis (2%), and meningitis (2%). There was no mucocele development.