Observation on Biophysical Nature and the Special Complication of Basilar Fracture of the Skull / 中华创伤杂志

ABSTRACT

Among 109 patienta with basilar fracture of skull, 24 with special complications were analysed retrospectively, The complications included delayed severe intracranial infection or brain abscess (7 cases), intracranial artery damage (9 cases), multiple cranial nerve injury (5 cases), and acute massive rhinorrhea and pneumocephalus (3 cases). Thirteen patients were operated on with various methods according to the clinical diagnosis. The relations between the biophysiological nature of the base of the skull and the mechanism of the complications were discussed. Forehead injury may cause "craniofacial cleavage fracture", and unilateral or bilateral temporal crush may caues "hinge fracture". All the basilar fractures mentioned above may damage the internal carotid artery and cranial nerves.