analysis of traumatic crush of early repair of anterior skull base fracture（分析创伤早期修复前颅底骨折的粉碎）.doc

Analysis of traumatic crush of early repair of anterior skull base fracture [Abstract] This paper describes a traumatic comminuted skull fracture early repair method and effect of the folded pedicled galea aponeurosis periosteal flap “sandwich method” Early repair of traumatic comminuted skull fracture, and made more good results. [Keywords] Keywords anterior skull base fracture repair Traumatic comminuted skull base fracture is a special type of brain injury, often accompanied by open craniocerebral injury and prolonged healing of the leakage of cerebrospinal fluid, the part with the eyes, nose injury. “Sandwich method” to repair the injury comminuted skull fracture, and achieved good results. Traumatic to smash anterior skull base fracture is one of the main reasons causing the skull defect and dural tear in the anterior cranial fossa, the mechanism of injury is not clear. Department of reported injuries instantaneous orbital pressure suddenly increased, so that the periorbital bone plate rupture [2] the main mechanism for the Department of the role of violence in the frontal or frontotemporal, resulting in the frontal and frontotemporal skull fracture, while the external forces along the orbital plate and sieve conduction, resulting in the orbital plate sieve plate compressional deformation crushing the weak parts of the bone plate and close relationship with the dura mater., many accompanied by the anterior cranial fossa dural laceration, and even dural defects in the formation of the fracture of anterior cranial fossa and orbit, nasal cavity adjacent to lack of effective support. Violence is very easy to make the bone chips free overlap, and sometimes can penetrate the brain or eyes, resulting in the loss of nerves, blood vessels, and extraocular muscles in the Orbital and frontal brain contusion at the bottom of conventional CT scan of the anterior cranial fossa fracture detection rate is not high, easily mistaken for the normal anterior cran