Management of depressed Skull Fractures: An Institutional Experience
Abdalraheem, Y., Abd alaziem, A., Hewedy, M., Mohailaba, H. (2025). Management of depressed Skull Fractures: An Institutional Experience. EKB Journal Management System, 6(1), 126-135. doi: 10.21608/ejmr.2024.320800.1696
Yasser Ahmed Abdalraheem; Adham Rabie Abd alaziem; Mohamed Ahmed Hewedy; Hany Mohailaba. "Management of depressed Skull Fractures: An Institutional Experience". EKB Journal Management System, 6, 1, 2025, 126-135. doi: 10.21608/ejmr.2024.320800.1696
Abdalraheem, Y., Abd alaziem, A., Hewedy, M., Mohailaba, H. (2025). 'Management of depressed Skull Fractures: An Institutional Experience', EKB Journal Management System, 6(1), pp. 126-135. doi: 10.21608/ejmr.2024.320800.1696
Abdalraheem, Y., Abd alaziem, A., Hewedy, M., Mohailaba, H. Management of depressed Skull Fractures: An Institutional Experience. EKB Journal Management System, 2025; 6(1): 126-135. doi: 10.21608/ejmr.2024.320800.1696

Management of depressed Skull Fractures: An Institutional Experience

Egyptian Journal of Medical Research
Volume 6, Issue 1, January 2025, Pages 126-135    PDF (651.42 K)
Document Type: Original Article
DOI: 10.21608/ejmr.2024.320800.1696
Authors
Yasser Ahmed Abdalraheem* 1; Adham Rabie Abd alaziem1; Mohamed Ahmed Hewedy2; Hany Mohailaba1
1lecturer of neurosurgery beni-suef university faculty of medicine Beni-suef, Egypt
2assistant professor of neurosurgery beni-suef university faculty of medicine Beni-suef, Egypt
Abstract
Objective: The aim of this review is to stand upon the frequency and the major causes of depressed fractures, assessment of factors that determine outcome in surgically treated cases and to develop a strategy for treatment of these depressed fractures. Also how to decrease the occurrence rate of depressed skull fractures. Methods: The study was done in the Neurosurgery department Beni-suef university hospitals, between May 2021 and May 2023. We reviewed the data of 60 cases that were admitted with depressed fracture and managed surgically. The patients included in this study from any group of age with palpable depressed fracture if possible and confirmed by brain CT scan with both soft and bone window. Glasgow outcome score was used to assess Outcome. Results:  60 cases were involved in the study. 45 cases  (75%) were  males and 15 case  (25%) were  females with mean age  30.5 years, between the 60 patients58.7% were aged between 15 and 40 years. the most common cause is   Blunt head trauma mainly during street fight followed by road traffic accidents.  Frontal bones are the commonest site of fracture it happened in 28 cases (46.7%), followed by parietal bone in 22 patients (36.6%). There was an obvious relationship between the mode of injury, Glasgow coma scale (GCS) score at the admission and discharge, and the presence of underlying brain injuries with the outcome. Conclusion: skull Depressed fractures are common neuro surgical issue. Early surgical maneuver gives excellent results and decrease both mortality and morbidity.
Keywords
Depressed skull fracture; Blunt trauma; Road traffic accident
References
  1. Ali M, Ali L, Roghani IS. Surgical management of depressed skull fracture.JPMI 2003;17(1):116-123. URL: http://www.jpmi.org.pk/index.php/jpmi/article/view/812.
  2. Blankenship IB, Chadduck WM, Boop FA. Bone fragment replacement for compound depressed skull fractures. J Col Phy Surg Pak. 2007;17:744-8.
  3. Britt PM, Heiseman JE. Imaging evaluation. In: Head Injury. 4 th Ed. Cooper PR, Golfinos JG.McGraw-Hill, New York; 2000:63.
  4. Manoz-Sanchez MA, Murillo-Cabezas F, Cayuela Dominguez A, Rincón-Ferrari MD, Amaya-Villar R, León-Carrión J. Skull fracture, with or without clinical signs, in mTBI is an independent risk marker for neurosurgical relevant intracranial lesion: a cohort study. Brain Inj. 2009;23:39
  5. Foreman PM, Harrigan MR. Blunt Traumatic Extracranial Cerebrovascular Injury and Ischemic Stroke. Cerebrovasc Dis Extra. 2017;7(1):72-83. doi: 10.1159/000455391.
  6. Fred HG, Paul NM. Traumatic skull and facial fractures. In: Renganchery SS, Richard GE(eds): Principles of Neurosurgery. 2nd Ed. Texas; 2005:329-31.
  7. Fitzsimmons-Francis C, Morris P. Prehospital care: Triage and trauma scoring. Surg Int. 2001;52:25.
  8. AI-Haddad SA, Kirollos R. A 5 year study of the outcome of surgically treated depressed Skull fractures. Ann R Coll Surg Engl. 2002;84:196-200.
  9. Cooper PR, Skull fracture and traumatic cerebrospinal fluid fistulas. In: Head Injury. 3rd ed. Baltimore: Williams and Wilkins; 1993. p. 115‑36.
  10. Neville SI, Amorim RL, Paiva WS, Sanders FH, Teixeira MJ, de Andrade AF. Early surgery does not seem to be a pivotal criterion to improve prognosis in patients with frontal depressed skull fractures. Biomed Res Int. 2014;879286.
  11. Mumtaz A, Ali L, Roghani IS. Surgical management of depressed skull fracture. J Postgrad Med Inst 2003;17:46‑8.
  12. Manne, et al.: Depressed skull fractures: Outcome study Asian Journal of Neurosurgery | Volume 14 | Issue 3 | July-September 2019
  13. Irshad M et al. Int Surg J. 2018 Feb;5(2):538-543 International Surgery Journal | February 2018 | Vol 5 | Issue 2 Page 541
  14. Swann IJ, MacMillan R, Strong I. Head injuries at aninner city accident and emergency department. Injury1981;12:274‑8.
  15. Jagger J, Levine JI, Jane JA, Rimel RW. Epidemiologic features of head injury in a predominantly rural population. J Trauma 1984;24:40‑4.
  16. Hossain MZ, Mondle MS, Hoque MM. Depressed skull fracture: outcome of surgical treatment. J Teachers Assoc 2008;21:140-46..
  17. Ozer FD, Yurt A, Sucu HK, Tektas S. Depressed fractures over cranial venous sinus. J Emerg Med. 2005;29(2):137-139.
  18. Ahmad S, Afzal A, Rehman L, Javed F. Impact of depressed skull fracture surgery on outcome of head injury patients. Pak J Med Sci.2018;34(1):130-134. doi: https://doi.org/10.12669/pjms.341.13184
  19. Jennett B, Miller J. Infection after depressed fracture of skull. Implications for management of nonmissile injuries. J Neurosurg. 1972;36:333-9.
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