Skull base & Cranial vault

Search

Shortcuts

All Preparations

All Approaches

All Reductions & Fixations

Frontal sinus fracture, anterior table Please select a treatment option:
Treatment	Main indication	Skill	Equipment
Observation	Minimally displaced anterior table fractures (< 1-2 mm) not involving the nasofrontal recess injury.
Open reduction internal fixation	Fractures with greater displacement (> 2 mm) NOT INVOLVING the nasofrontal recess.
Obliteration	Anterior table fractures which include the sinus floor resulting in nasofrontal recess injury.
Delayed endoscopic repair	Isolated fractures of the anterior table with residual cosmetic deformity, without demonstrable obstructive sinus pathology.

Frontal sinus fracture, frontal recess Please select a treatment option:
Treatment	Main indication	Skill	Equipment
Obliteration	Any frontal sinus fracture resulting in nasofrontal recess injury.
Observation (and when indicated frontal sinus endoscopy)	Anterior table fractures involving the sinus floor with questionable nasofrontal recess injury.

Frontal sinus fracture, posterior table Please select a treatment option:
Treatment	Main indication	Skill	Equipment
Observation	Minimally displaced posterior table fractures, without evidence of nasofrontal recess injury, and minor CSF leak.
Cranialization	Displaced posterior table fractures, with or without evidence of nasofrontal recess injury, with or without CSF leak.
Obliteration	Displaced posterior table fractures, without comminution, and without CSF leak.

Skull base fracture, anterior Please select a treatment option:
Treatment	Main indication	Skill	Equipment
Observation	Non- or minimally displaced fractures without CNS injury.
Intradural repair	Displaced fractures with evidence of CNS injuries.
Extradural repair	Displaced fractures with evidence of CNS injuries or CSF leak that does not resolve spontaneously.

Skull base fracture, central (anterior) Please select a treatment option:
Treatment	Main indication	Skill	Equipment
Observation	Non- or minimally displaced fractures without CNS injury and stable neurological status.
Endoscopic repair of CSF leak	Central anterior skull base fractures resulting in CSF rhinorrhea.

Skull base fracture, posterior Please select a treatment option:
Treatment	Main indication	Skill	Equipment
Observation	Non- or minimally displaced fractures.
Treatment modalities	Depressed fractures with a significant intracranial injury.

Skull base fracture, lateral Please select a treatment option:
Treatment	Main indication	Skill	Equipment
Observation	Non- or minimally displaced fractures.
Extradural middle fossa repair using temporal fascia flap	Displaced fractures with evidence of CNS injuries.

Skull base fracture, temporal bone (lateral skull base) Please select a treatment option:
Treatment	Main indication	Skill	Equipment
Observation	Non- or minimally displaced fractures without CNS or vascular injury, and stable neurological status.
Surgical management	Displaced fractures with evidence of CNS/vascular injuries.
Delayed management of hearing loss	Persistent conductive hearing loss suggesting damage to the middle ear.

Cranial vault fracture Please select a treatment option:
Treatment	Main indication	Skill	Equipment
Observation	Non- or minimally displaced fractures not involving the frontal sinus, without CNS or vascular injury, and stable neurological status.
Treatment of depressed cranial vault fractures	Depressed fractures (decompression of the brain requires acute treatment).

Special considerations
Traumatic brain injury/Vascular injury Infections Late sequelae Cranioplasty (bone versus alloplast)

*Skill
	Basic surgical experience, no specialized skills
	Some specialized surgical experience
	Highly experienced and skilled surgeon

*Equipment
	Basic equipment only
	Simple surgical and imaging resources
	Full specialized surgical and imaging resources

• Tweet

v1.0 2011-05-14