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Management of Penetrating Skull Base Injury: A Single Institutional Experience and Review of the Literature
Joint Authors
Zhang, Danfeng
Hou, Lijun
Chen, Jigang
Han, Kaiwei
Yu, Mingkun
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-12, 12 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-07-30
Country of Publication
Egypt
No. of Pages
12
Main Subjects
Abstract EN
Background.
Penetrating skull base injury (PSBI) is uncommon among head injuries, presenting unique diagnostic and therapeutic challenges.
Although many cases of PSBIs have been reported, comprehensive understanding of its initial diagnosis, management, and outcome is still unavailable.
Materials and Methods.
A retrospective review was performed for patients treated in neurosurgical department of Changzheng Hospital for PSBIs.
Presurgical three-dimensional (3D) Slicer-assisted reconstructions were conducted for each patient.
Then we reviewed previous literature about all the published cases of PSBIs worldwide and discussed their common features.
Results.
A total of 5 patients suffering PSBIs were identified.
Penetrating points as well as the surrounding neurovascular structures were clearly visualized, assisting in the presurgical planning of optimal surgical approach and avoiding unexpected vascular injury.
Four patients underwent craniotomy with foreign bodies removed successfully and 1 patient received conservative treatment.
All of them presented good outcomes after proper management.
Conclusion.
Careful physical examination and radiological evaluation are essential before operation, and angiography is recommended for those with suspected vascular injuries.
3D modeling with 3D Slicer is practicable and reliable, facilitating the diagnosis and presurgical planning.
Treatment decision should be made upon the comprehensive evaluation of patient’s clinicoradiological features and characteristics of foreign bodies.
American Psychological Association (APA)
Zhang, Danfeng& Chen, Jigang& Han, Kaiwei& Yu, Mingkun& Hou, Lijun. 2017. Management of Penetrating Skull Base Injury: A Single Institutional Experience and Review of the Literature. BioMed Research International،Vol. 2017, no. 2017, pp.1-12.
https://search.emarefa.net/detail/BIM-1135459
Modern Language Association (MLA)
Zhang, Danfeng…[et al.]. Management of Penetrating Skull Base Injury: A Single Institutional Experience and Review of the Literature. BioMed Research International No. 2017 (2017), pp.1-12.
https://search.emarefa.net/detail/BIM-1135459
American Medical Association (AMA)
Zhang, Danfeng& Chen, Jigang& Han, Kaiwei& Yu, Mingkun& Hou, Lijun. Management of Penetrating Skull Base Injury: A Single Institutional Experience and Review of the Literature. BioMed Research International. 2017. Vol. 2017, no. 2017, pp.1-12.
https://search.emarefa.net/detail/BIM-1135459
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1135459