Executive Editor: Daniel Buchbinder General Editor: Daniel Buchbinder

Authors: S Fusetti, B Hammer, R Kellman, C Matula, EB Strong, Co-author: A Di Ieva

Skull base & Cranial vault - Frontal sinus, posterior table

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Glossary

General considerations

The treatment algorithm for posterior table fractures is complex due to the risk of CSF leak, meningitis, encephalitis, abscess, and mucocele formation.

Observation
Main indication Skill Equipment
Minimally displaced posterior table fractures, without evidence of nasofrontal recess injury, and minor CSF leak. Basic surgical experience, no specialized skills Basic equipment only

Further indication

  • In conjunction with anterior table fractures with or without nasofrontal duc injury without clinical or radiographic evidence of intracranial injury.
Cranialization
Main indication Skill Equipment
Displaced posterior table fractures, with or without evidence of nasofrontal recess injury, with or without CSF leak. Highly experienced and skilled surgeon Simple surgical and imaging resources

Further indication

  • Moderate to severe comminution of posterior table fractures
Obliteration
Main indication Skill Equipment
Displaced posterior table fractures, without comminution, and without CSF leak. Highly experienced and skilled surgeon Simple surgical and imaging resources

Further indication

  • Associated injury of the nasofrontal recess.
*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

v1.0 2011-05-14