Surgical management of depressed cranial fractures.

Ross Bullock, Randall Chesnut, Jamshid Ghajar, David Gordon, Roger Hartl, David W. Newell, Franco Servadei, Beverly C. Walters, Jack Wilberger

Research output: Contribution to journalArticle

46 Citations (Scopus)

Abstract

INDICATIONS: Patients with open (compound) cranial fractures depressed greater than the thickness of the cranium should undergo operative intervention to prevent infection. Patients with open (compound) depressed cranial fractures may be treated nonoperatively if there is no clinical or radiographic evidence of dural penetration, significant intracranial hematoma, depression greater than 1 cm, frontal sinus involvement, gross cosmetic deformity, wound infection, pneumocephalus, or gross wound contamination. Nonoperative management of closed (simple) depressed cranial fractures is a treatment option. TIMING: Early operation is recommended to reduce the incidence of infection. METHODS: Elevation and debridement is recommended as the surgical method of choice. Primary bone fragment replacement is a surgical option in the absence of wound infection at the time of surgery.All management strategies for open (compound) depressed fractures should include antibiotics.

Original languageEnglish
JournalNeurosurgery.
Volume58
Issue number3 Suppl
StatePublished - Mar 1 2006
Externally publishedYes

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Open Fractures
Wound Infection
Pneumocephalus
Frontal Sinus
Debridement
Infection
Skull
Cosmetics
Hematoma
Anti-Bacterial Agents
Bone and Bones
Incidence
Wounds and Injuries
Therapeutics

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

Cite this

Bullock, R., Chesnut, R., Ghajar, J., Gordon, D., Hartl, R., Newell, D. W., ... Wilberger, J. (2006). Surgical management of depressed cranial fractures. Neurosurgery., 58(3 Suppl).

Surgical management of depressed cranial fractures. / Bullock, Ross; Chesnut, Randall; Ghajar, Jamshid; Gordon, David; Hartl, Roger; Newell, David W.; Servadei, Franco; Walters, Beverly C.; Wilberger, Jack.

In: Neurosurgery., Vol. 58, No. 3 Suppl, 01.03.2006.

Research output: Contribution to journalArticle

Bullock, R, Chesnut, R, Ghajar, J, Gordon, D, Hartl, R, Newell, DW, Servadei, F, Walters, BC & Wilberger, J 2006, 'Surgical management of depressed cranial fractures.', Neurosurgery., vol. 58, no. 3 Suppl.
Bullock R, Chesnut R, Ghajar J, Gordon D, Hartl R, Newell DW et al. Surgical management of depressed cranial fractures. Neurosurgery. 2006 Mar 1;58(3 Suppl).
Bullock, Ross ; Chesnut, Randall ; Ghajar, Jamshid ; Gordon, David ; Hartl, Roger ; Newell, David W. ; Servadei, Franco ; Walters, Beverly C. ; Wilberger, Jack. / Surgical management of depressed cranial fractures. In: Neurosurgery. 2006 ; Vol. 58, No. 3 Suppl.
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