Comminuted Frontal Fracture after Head Injury – Case Presentation

Abstract

The aim of this case report is to present the surgical technique used for anterior skull base fracture. A 26-year-old patient was admitted to our Service due to mild T.B.I (traumatic brain injury) caused by falling after standing up. The patient presented with common symptoms: headache followed by dizziness with no signs of complications such as IH (intracranial hypertension), meningeal syndrome or CSF (cerebrospinal fluid) fistula. We performed surgery immediately after the computed tomography scan had showed the comminuted fracture with frontal sinus obstruction. During surgery eschilectomy was being performed followed by cranioplasty with titanium mesh at the bone level. The following day the routine computed tomography scan showed no signs of hematoma. Post-operative, under administration of antibiotic treatment and painkillers the evolution of the injury was favorable and the patient was discharged and scheduled to come back one week later.