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CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(03): 815-820
DOI: 10.4103/ajns.AJNS_111_19
Original Article

Surgical outcomes in depressed skull fractures: An institutional experience

Srikrishnaditya Manne
Department Neurosurgery, Gandhi Medical College and Hospital, Secunderabad, Telangana
,
Siddartha Musali
Department Neurosurgery, Gandhi Medical College and Hospital, Secunderabad, Telangana
,
Prakash Gollapudi
Department Neurosurgery, Gandhi Medical College and Hospital, Secunderabad, Telangana
,
Pratap Nandigama
Department Neurosurgery, Gandhi Medical College and Hospital, Secunderabad, Telangana
,
Imran Mohammed
Department Neurosurgery, Gandhi Medical College and Hospital, Secunderabad, Telangana
,
Nagarjuna Butkuri
Department Neurosurgery, Gandhi Medical College and Hospital, Secunderabad, Telangana
,
Asma Asma
1   Department of Community Medicine, Shadan Institute of Medical Sciences, Hyderabad, Telangana
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Aims: The aim is to study the various factors associated with depressed skull fractures (DSFs) and their relationship with outcomes in patients who underwent surgery. Settings and Design: This was a cross-sectional study in a hospital setting. Patients and Methods: One hundred and fifty patients who underwent surgeries over a period of 6 years at our institute for DSFs were followed up and outcomes were analyzed. Patients having other medical- or trauma-related surgical morbidities were excluded. All age groups were studied. Statistical Analysis Used: The statistical analysis was performed using Chi-square test. Results: There was a significant relationship between the mode of injury, Glasgow coma scale (GCS) score at admission and discharge, and underlying brain injuries with the outcomes. The variables such as pneumocephalus, dural tears, type of fracture and site of the fracture, and age and sex distribution of the patient were not statistically influencing the outcomes. Conclusions: Patients who underwent surgery for DSFs, with good GCS at admission and discharge, with no underlying brain injury, and who did not sustain injuries in a road traffic accident had better outcomes.

Key-words:

Depressed skull fractures - outcomes - surgery

Financial support and sponsorship

Nil.




Publication History

Article published online:
09 September 2022

© 2019. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Al-Derazi T, Das K, Gupta PK, Thajudeen BA, Ravindra J. Management strategy of depressed skull fractures. Pan Arab J Neurosurg 2008;12:80-5.
  • 2 Cooper PR, Skull fracture and traumatic cerebrospinal fluid fistulas. In: Head Injury. 3rd ed. Baltimore: Williams and Wilkins; 1993. p. 115-36.
  • 3 Cowan BF, Segall HD, Zee CS. Neuroradiological Assessment of Depressed Skull Fracture: Axial Versus Skull Roentgenography. Western Neuroradiological Society Annual Meeting; 1980.
  • 4 Heary RF, Hunt CD, Krieger AJ, Schulder M, Vaid C. Nonsurgical treatment of compound depressed skull fractures. J Trauma 1993;35:441-7.
  • 5 Hossain M, Mondle M, Hoque M. Depressed Skull Fracture: Outcome of Surgical Treatment. TAJ: J Teach Assoc 2008;21:140-6.
  • 6 Jagger J, Levine JI, Jane JA, Rimel RW. Epidemiologic features of head injury in a predominantly rural population. J Trauma 1984;24:40-4.
  • 7 Jamieson KG, Yelland JD. Depressed skull fractures in Australia. J Neurosurg 1972;37:150-5.
  • 8 Mumtaz A, Ali L, Roghani IS. Surgical management of depressed skull fracture. J Postgrad Med Inst 2003;17:46-8.
  • 9 Satardey RS, Balasubramaniam S, Pandya JS, Mahey RC. Analysis of factors influencing outcome of depressed fracture of skull. Asian J Neurosurg 2018;13:341-7.
  • 10 Swann IJ, MacMillan R, Strong I. Head injuries at an inner city accident and emergency department. Injury 1981;12:274-8.
  • 11 Lee KS, Back SH, Bae HG, Doh JW, Prognosis and complications of depressed skull fractures. J Korean Neurosurg Soc 1994;23:1143-9.