Vajira Medical Journal
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Browsing Vajira Medical Journal by Author "Alongkorn Jaiimsin"
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Item Results of Surgical Management of Anterior Cranial Fossa Fractures(Vajira Medical Journal, 2010-01-07) Alongkorn JaiimsinAbstract Results of Surgical Management of Anterior Cranial Fossa Fractures Alongkorn Jaiimsin MD Department of Surgery, BMA Medical College and Vajira Hospital Objective: To determine and review the results of surgical management of anterior cranial fossa fractures repaired by patients' pericranium and temporalis muscle. Study design: Descriptive study. Subjects: A total of 50 patients with anterior cranial fossa fractures operated in Phranakorn Sri Ayutthaya Hospital and BMA Medical College and Vajira Hospital from April 2000 to September 2006. Methods: Data from hospital records, operative notes, radiography of skull and CT scan of brain and skull were reviewd and analysed. Main outcome measures: Operative time, duration of hospital stay, and complications of the operation. Results: Mean age of the patients was 27.6 ± 5.2 years (17-49 years), 48 (96.0%) were male and 2 (4.0%) were females. The most common cause was motorcycle accident (80.0%); 30 patients (60.0%) were categorized according to the Glasgow coma scale as mild head injury, while 12 patients (24.0%) and 8 patients (16.0%) were categorized as moderate and severe head injury. In the early phase of this study, 12 patients (24.0%) were operated by a single surgical team with 330.4 ± 20.6 minutes of operative time, while the remaining 38 patients (76.0%) were operated by 2 surgical teams, the anterior cranial fossa reconstruction team and the bony fragment assemble team, with 260.1 ± 13.3 minutes of operative time. The average duration of hospital stay was 19.2 ± 4.9 days (7-35 days) No one die after surgery. Postoperative complications were cerebrospinal leakage (2.0%), meningitis (14.0%) and skull deformitiy (8.0%). Conclusion: The surgical management of anterior cranial fossa fractures using patient's own pericranium and temporalis muscle was simple, safe, inexpensive and with only few complications. Vajira Med J 2009 ; 53 : 143-151