Numerous treatment alternatives and algorithms have been proposed over the years; yet the definitive treatment option for the timing and reconstruction of frontal sinus fracture remains a dilemma for the operating surgeon. Sinusitis, meningitis, encephalitis and mucoceles are the associated life threatening complications. The primary goal is to provide a safe sinus while minimizing patient morbidity and to restore patient back to their pre –injury form and function as much as possible.  Aim The purpose of this review is to evaluate the biomechanics, diagnosis, decision making and treatment options for the immediate and delayed treatment of frontal sinus fracture and to the investigate the complications associated.  Result The best treatment of frontal sinus is debatable because of varied causes and sites of injury. The complications and the symptoms may take several years to develop as it may involve multiple intracranial structures with severe consequences however greater understanding and developments have significantly improved the functional and cosmetic results with a careful treatment planning and long term mandatory follow-up.

Keywords : Frontal sinus, Fracture, Reconstruction, Immediate, Delayed, Complications.