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
back to CMF overview
|
|
|
|
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, 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). |
 |
 |
*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 |
|
|
|