Falls and inflicted impacts are leading causes of severe brain injury in children. We determined mechanical properties of pediatric porcine skull and suture at impact rates (2.16 and 3.67 m/s) to complement previous quasistatic data. As before, elastic modulus (E) and ultimate stress (σult) of cranial bone were significantly higher and ultimate strain (εult) was significantly lower than suture....

OBJECTIVE To explore the complications and associated risks factors after orbital exenteration and lateral skull base defect repair. METHODS Patients who had undergone a reconstruction of their orbital cavity and lateral skull base defects were selected from our departmental database. The outcome of interest was postoperative complications. The risks factors were defined as age, sex, history ...

BACKGROUND Several quality of life (QOL) instruments exist for skull base pathology, however, there have been no attempts to appraise and systematically review these instruments. METHODS We systematically reviewed MEDLINE, EMBASE, Central, AMED, Health and Psychosocial Instruments, and PsychoInfo for anterior or central skull base QOL instruments to January 2010. We queried experts, bibliogra...

Intractable epistaxis developed in a 13-year-old girl after she fell down a flight of stairs sustaining facial fractures and fracture of the skull base. Epistaxis was found to emanate from a right ascending pharyngeal artery, which the authors promptly and successfully embolized using polyvinyl alcohol particles and microfibrillar collagen.

Endonasal skull base surgery is growing exponentially as a subspecialty. In recent years, advances in endoscopic techniques and intraoperative navigation systems have allowed us to expand the indications of endoscopic skull base surgery. Major skull base centers worldwide are addressing larger and more complex lesions using endoscopic techniques. As a consequence, the skull base defects are mor...

Compound depressed skull fractures occur commonly from assault with various sharp and blunt objects. The use of a stiletto heeled shoe as an offensive weapon has not been reported before as a cause of such an injury. However unusual the history of assault, a clear picture of the mechanism of the injury is vital. Patients with scalp lacerations following a direct blow to the head must be evaluat...

Linear and depressed skull fractures are frequent mechanisms of head injury and are often associated with traumatic brain injury. Accurate knowledge of the fracture of cranial bone can provide insight into the prevention of skull fracture injuries. A set of cranial bone specimens were extracted from 8 crania and, after !CT imaging, the specimens were tested in a three-point bend set-up at dynam...

Fractures of the anterior skull base may occur in gunshot victims and can result in traumatic cerebrospinal fluid (CSF) leak. Less commonly, CSF leaks occur days or even weeks after the trauma occurred. Here, we present the case of a 21-year-old man with a delayed-onset, traumatic CSF leak secondary to a missile injury that left a bullet fragment in the Rosenmuller fossa. The patient was treate...

This is a case report of compound elevated skull fracture. This is a very rare variant of skull fractures. A CT angiogram demonstrated occlusion in the mid 1/3rd of superior sagittal sinus. Only few cases have been reported before. This patient was managed by the Neurosurgery department of Square Hospitals Ltd. Dhaka who had a history of assault and diagnosed as compound elevated fracture. He w...