Injuries to skull

Causes/features Diagnosis Management
  • Injuries of skull include, compression, local indentation and tangential injuries affecting vault and base of skull.
  • Accompanied by brain affection which may be either concussion, contusion or cerebral laceration.
  • Linear fractures indicate severity of fracture and soft tissue damage based on its site.
  • Comminuted fractures are usually compound in adults and depressed.
  • Depressed fractures in the young child is circular and called ponds fracture.
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  • History:
  • Palpation
  • X-ray
  • Increase intracranial pressure from cerebral edema may accompany head injuries and need to be handled by decompression
  • Airway must be clear
  • Operative intervention is essential in closed depressed fractures which are large.
  • Ponds fracture heal spontaneously but should be elevated if they are adjacent to speech motor areas or if there are signs of compression.
  • Most of the operative intervention in compound fractures include very vigorous debridement regime and inflitration with antibiotics locally
  • Skull reconstruction can be performed in areas of skull defect using acrylic inlays or tantalum plates etc.
Linear fracture of vault Base fracture on posterior fossa Facial fracture- craniofacial disjunction
 

 

 

 

 

Electronic School of Medicine
Creator: Oluwole Ogunranti