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A skull fracture is a break in one or more of the eight bones that form the cranial portion of the skull, usually occurring as a result of blunt force trauma.If the force of the impact is excessive, the bone may fracture at or near the site of the impact and cause damage to the underlying structures within the skull such as the membranes, blood vessels, and brain.
The Le Fort III fracture (transverse fracture) occurs at the level of the skull base, resulting in complete craniofacial separation of the midface from the base of the skull. [ 2 ] [ 3 ] The fracture line extends through the zygomatic arch , the pterygoid plates , the lateral and medial orbital walls , the nasal bones , and the nasal septum .
A basilar skull fracture typically requires a significant degree of trauma to occur. [1] It is defined as a fracture of one or more of the temporal, occipital, sphenoid, frontal or ethmoid bone. [1] Basilar skull fractures are divided into anterior fossa, middle fossa and posterior fossa fractures. [1] Facial fractures often also occur. [1]
Most bones of the calvaria consist of internal and external tables or layers of compact bone, separated by diploë. The diploë is cancellous bone containing red bone marrow during life, through which run canals formed by diploic veins. The diploë in a dried calvaria is not red because the protein was removed during preparation of the cranium.
Fractures with displacement require surgery consisting of fracture reduction with miniplates, microplates and screws. Gillie's approach is used for depressed zygomatic fractures. [5] The prognosis of tripod fractures is generally good. In some cases there may be persistent post-surgical facial asymmetry, which can require further treatment. [6]
The pterion is the region where the frontal, parietal, temporal, and sphenoid bones join. [1] It is located on the side of the skull, just behind the temple.It is also considered to be the weakest part of the skull, which makes it clinically significant, as if there is a fracture around the pterion it could be accompanied by an epidural hematoma.
The bony orbital anatomy is composed of 7 bones: the maxillary, zygomatic, frontal, lacrimal, sphenoid, palatine, and ethmoidal. [14] The floor of the orbit is the roof of the maxillary sinus. [15] The medial wall of the orbit is the lateral wall of the ethmoid sinus. The medial wall is also known as the lamina papyrcea which means "paper layer."
The orbital lamina of ethmoid bone (or lamina papyracea or orbital lamina) is a smooth, oblong, [citation needed] paper-thin [1] bone plate [citation needed] which forms the lateral wall of the labyrinth of the ethmoid bone. [1] It covers the middle and posterior ethmoidal cells, and forms a large part of [citation needed] the medial wall of ...