Injuries to skull
Fractures of skull vault
Fractures of base of skull
include, compression, local indentation and tangential injuries affecting vault and base of skull.
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.
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.
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
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