The Evolution of Modern Treatment for Depressed Skull Fractures

Surgery for depressed skull fractures has developed over centuries to attain the consensus approaches currently used. This review outlines the last 200 years of development of surgical approaches to closed and open depressed skull fractures, fractures involving dural venous sinuses and ping-pong fra...

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Bibliographic Details
Published in:World neurosurgery 2019-01, Vol.121, p.186-192
Main Author: Stein, Sherman C.
Format: Article
Language:English
Subjects:
Compound skull fracture
Depressed skull fracture
Ping-pong skull fracture
Skull fracture elevation
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Summary:Surgery for depressed skull fractures has developed over centuries to attain the consensus approaches currently used. This review outlines the last 200 years of development of surgical approaches to closed and open depressed skull fractures, fractures involving dural venous sinuses and ping-pong fractures involving infants. Early reports often dealt with only closed and open depressed skull fractures. However, experience has shown that each fracture category merits its own management strategies. Accepted approaches are based on observation only; there is little to no scientific evidence to support treatment for any fracture type.
ISSN:1878-8750
1878-8769
DOI:10.1016/j.wneu.2018.10.045