Surgical Treatment and Results of Depressed Skull Fracture

Annals of International Medical and Dental Research, cilt.6, sa.6, ss.9-12, 2020 (Hakemli Dergi)

Aim: Surgery for depressed skull fractures (DSF) is usually performed as an emergency. This entity is responsible for

significant morbidity and mortality as it complicates head trauma. The study was designed to investigate the factors

accompanying DSF in patients undergoing surgery and their relationship with the results. Material and Methods: This

current cross-sectional study was performed in 70 patients with DSF requiring surgical treatment. The study was conducted

in the Neurosurgery Department of the General Hospital, Lahore. Demographic data, type and time of injury, seizures,

vomiting, ear, nose and throat bleeding, loss of consciousness, location and type of fracture were documented. Outcome

was measured using the Glasgow Coma Scale (GCS). Postoperative complications were observed. All patients were

followed up on the fifth postoperative day. Results: A total of 70 patients, 48 men and 22 women, were operated on for DSF.

The age ranges from 10 to 55, and the average age is 33.90 ± 14.60. 15 (21.4%) patients were in the 10-18 age group,

followed by 15 (21.4%) in the 19-30 age group, 25 (35.7%) in the 31-45 age group, and 15 (21.4%) in the 46-55 age group.

It was determined that 48 (68.6%) patients had compound or open fractures, 22 (31.4%) patients had simple or closed

fractures. Conclusion: DSF is a very common neurosurgical emergency. Surgery is an excellent option and should therefore

be performed whenever indicated, as results are favorable in most cases.