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Causes/features Diagnosis Management
  • Injuries of skull include, compression, local indentation and tangential injuries affecting vault.
  • Accompanied by brain  affection which is usually brain laceration.
  • Comminuted fractures are usually compound in adults and depressed.
  • They are produced by small objects as opposed to large one which produce Ponds fracture.
  • Inceased 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 heals 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.
Ponds fracture by large object Compound fracture Comminuted fracture
 

 

 

 

 

 

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Creator: Oluwole Ogunranti