Open Comminuted Expressed - Depressed Skull Fracture

Abstract

Skull fractures occur as the result of the effect of kinetic forces and represent discontinuity of the bones of the skull. They can be opened and closed affecting tissues; linear, diastatic, comminuted affecting cranial level; or depressed ones often leading to injuries of meninx, brain tissue with different types of intracranial bleeding. The paper presents a 56-year old male patient who suffered severe craniocerebral injury of the frontal region including orbit while operating the wood processing machine. The injury manifested as scalp damage, expressed-depressed open fracture of frontal-orbital region with cerebrospinal fluid leak. Computerized tomography of the brain showed the presence of epidural, subdural, and intracerebral hematoma with mass effect. The injuries were surgically treated, hematomas evacuated, and skull defect was reconstructed by previous plasticizing the dura in order to stop cerebrospinal fluid leak In the reconstruction of the multifragmentary fracture, a star titanium implant was used, but significant implantation of artificial material was not performed due to already contaminated wound and the possibility of a subsequent infection.

Characteristics of Calvaria Depression Fractures Patients in Dr. Kariadi General Hospital, Semarang

“…This is not much different from previous studies which stated that surgery was performed in 90.72% of cases either for reasons of eliminating compression of the fracture segment in the brain, removing fractures from the dura, or cosmetics, and preventing the risk of infection. 9,[11][12][13] In this study, it was found that the most length of stay was 5-10 days. This is because in cases of depressed calvaria fractures, close monitoring must be carried out, especially in cases of depressed calvaria fractures that are often followed by the presence of other intracranial abnormalities, which of course will prolong the length of stay of the patient.…”