Research Article
Volume 3 Issue 1 - 2020
Treatment of Fractures of the Anterior Floor Base of the Skull in Maxillo-Facial Surgery
A Oualime1* and F Slimani2
1Department of Stomatology, Oral and Maxillofacial Surgery, Hospital of August 20th, University Hospital, Casablanca, Morocco
2Faculty of Medicine and Pharmacy, Hassan 2 University of Casablanca, Casablanca, Morocco
*Corresponding Author: A Oualime, Department of Stomatology, Oral and Maxillofacial Surgery, Hospital of August 20th, University Hospital, Casablanca, Morocco.
Received: November 22, 2019; ; Published: December 23, 2019




Abstract

The traumatisms of the anterior floor of the base of the skull represent 15 to 20% of the cranial traumatisms in general. These traumas threaten the overlying neuroencephalic structures and are very often responsible for osteomeningeal breccia exposing to a major infectious risk, with morphological deformations. This work is a descriptive retrospective study of 14 patients operated for fracture of the anterior floor of the base of the skull, at the department of stomatology and maxillofacial surgery of the hospital August 20, 1953 for a period of 3 years from January 2015 to December 2017. We found a male predominance of 78.5%, the causes are dominated by road accidents (50%), the diagnosis was suspected before the evocative signs (rhinorrhea, morphological deformations and periorbital bruising) and was confirmed in all patients by CT. Fractures of the anterior stage of the skull base were classified according to a classification that relates to the biomechanics of trauma; 28.6% of the patients had a medio-basicranial fracture, 71.4% had a latero-basicranial fracture. The ideal treatment is the surgical closure of the breccia to avoid the risk of meningitis, in combination with medical means, the ideal time of repair is beyond the 72nd hour after the decrease of cerebral edema in case of absence an intracranial lesion requiring emergency intervention. The management of these fractures is often multidisciplinary because of the diversity of the clinical picture and the observed lesions.

Keywords: Fractures; Anterior Floor Base; Skull; Maxillo-Facial Surgery

References

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Citation: A Oualime and F Slimani. “A Oualime and F Slimani.”. EC Clinical and Medical Case Reports 3.1 (2020): 01-09.

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