Classification and Clinical Significance of Traumatic Posterior Cranial Fossa Fractures

Zhang Yanping; Zhang Pan

doi:doi:10.11648/j.js.20210906.11

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Classification and Clinical Significance of Traumatic Posterior Cranial Fossa Fractures

Zhang Yanping, Zhang Pan

Published in Journal of Surgery (Volume 9, Issue 6)

Received: 28 September 2021 Accepted: 19 October 2021 Published: 5 November 2021

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Abstract

Objective To explore the classification and efficacy of traumatic posterior cranial fossa fractures. Methods 155 cases were diagnosed by CT examination to determine for traumatic posterior fossa fracture involving the wounded and merger, at the same time will find traumatic cerebellopontie angle syndrome, as one of the key content classification, GCS score 3 to 15 points, and according to the clinical symptoms and signs combined with CT examination put forward the new classification, through the selection of parting early surgical and non-surgical treatment. Results 155 cases of posterior cranial fossa fracture and its associated injury were classified into type I-VI, and the therapeutic effect was evaluated according to GOS score after 6 months follow-up. Among the 75 cases, 50 cases were treated with 5 points, 16 cases were treated with 14 points, 5 cases were treated with 3 points, 2 cases were treated with 2 points, 2 cases were treated with 1 point, and the rest 80 cases were treated without operation with 4-5 point. Conclusion The new classification of type I-VI proposed by our group and the selection of ultra-early surgical and non-surgical treatment according to the classification are the key to reduce the mortality and disability rate in this study. Especially, the traumatic cerebellopontine angle syndroma proposed by zhang yan ping that important significance of timely operation.

Published in	Journal of Surgery (Volume 9, Issue 6)
DOI	10.11648/j.js.20210906.11
Page(s)	252-255
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Traumatic Fracture Classification, Posterior Cranial Fossa, Traumatic Cerebellopotinte Angle Syndrome, Surgical Treatment

References

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[3]	uang peng, Li feng, Zhu jun: Investigetion progresstive of occipital condyle fracture, Continuing medical education in china [J]. 12 (6). 119.
[4]	Yoshio Taguchi, MD, Motoshi Matsuzawa, MD, Hiroyuki Morishima, MD et al. Incarceration of the basilar artery in a longitudinal fracture of the clivus: case report and literature review: The Journal of Trauma 2000, 48 (6): 1148.
[5]	Zhang Yan Ping. Report of 2 cases of occipital floor fracture caused by posterior occipital injury confirmed by operation [J]. Chinese journal of neuropsychiatry, 1994, 20 (3): 160.
[6]	Wang Zhong cheng, Yu Chunjiang, Wu Zhongxue, et al. Craniocerebral surgical anatomy [M], shandong science and technology press, 2002, 34.
[7]	Zhang Yanping, Yang Zirun, et al. Surgical treatment of skull base fracture and complications [M], Beijing people's military medical press, 2015, 132.
[8]	Li Zhi di, Yang Zhi lin, wei jian gong, etal. Analysis of diagnosis and treatment for 35 cases in traumatic epidural hematoma from posterior fossa, Guang dong medicin [J], 33 (23), 3594.
[9]	M. Berker, O. Cataltepe & O. E. ӦZCAN. Traumatic epidural haematoma of the posterior fossa in childhood: 16 new case and areview of the literature. J of Neurosurgery 2003, 17 (3): 226-2267.
[10]	Ivan Hecimovic, MD., Goran Blaggus, MD., Branka Kristek, MD., etal. E Successful treatment of traumatic acute posterior fossa subdural hematoma: report of two cases Surg Neurol 1999; 51, 248.
[11]	Bima. Stulik J. KryIj. et al. collet-sicard syndrome due to occipital condyle fracture. case report. Acta chir cech. Orthop Traumtol [J] 2015. 82 (6): 441.

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APA Style

Zhang Yanping, Zhang Pan. (2021). Classification and Clinical Significance of Traumatic Posterior Cranial Fossa Fractures. Journal of Surgery, 9(6), 252-255. https://doi.org/10.11648/j.js.20210906.11

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ACS Style

Zhang Yanping; Zhang Pan. Classification and Clinical Significance of Traumatic Posterior Cranial Fossa Fractures. J. Surg. 2021, 9(6), 252-255. doi: 10.11648/j.js.20210906.11

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AMA Style

Zhang Yanping, Zhang Pan. Classification and Clinical Significance of Traumatic Posterior Cranial Fossa Fractures. J Surg. 2021;9(6):252-255. doi: 10.11648/j.js.20210906.11

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@article{10.11648/j.js.20210906.11,
  author = {Zhang Yanping and Zhang Pan},
  title = {Classification and Clinical Significance of Traumatic Posterior Cranial Fossa Fractures},
  journal = {Journal of Surgery},
  volume = {9},
  number = {6},
  pages = {252-255},
  doi = {10.11648/j.js.20210906.11},
  url = {https://doi.org/10.11648/j.js.20210906.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20210906.11},
  abstract = {Objective To explore the classification and efficacy of traumatic posterior cranial fossa fractures. Methods 155 cases were diagnosed by CT examination to determine for traumatic posterior fossa fracture involving the wounded and merger, at the same time will find traumatic cerebellopontie angle syndrome, as one of the key content classification, GCS score 3 to 15 points, and according to the clinical symptoms and signs combined with CT examination put forward the new classification, through the selection of parting early surgical and non-surgical treatment. Results 155 cases of posterior cranial fossa fracture and its associated injury were classified into type I-VI, and the therapeutic effect was evaluated according to GOS score after 6 months follow-up. Among the 75 cases, 50 cases were treated with 5 points, 16 cases were treated with 14 points, 5 cases were treated with 3 points, 2 cases were treated with 2 points, 2 cases were treated with 1 point, and the rest 80 cases were treated without operation with 4-5 point. Conclusion The new classification of type I-VI proposed by our group and the selection of ultra-early surgical and non-surgical treatment according to the classification are the key to reduce the mortality and disability rate in this study. Especially, the traumatic cerebellopontine angle syndroma proposed by zhang yan ping that important significance of timely operation.},
 year = {2021}
}

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TY  - JOUR
T1  - Classification and Clinical Significance of Traumatic Posterior Cranial Fossa Fractures
AU  - Zhang Yanping
AU  - Zhang Pan
Y1  - 2021/11/05
PY  - 2021
N1  - https://doi.org/10.11648/j.js.20210906.11
DO  - 10.11648/j.js.20210906.11
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 252
EP  - 255
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20210906.11
AB  - Objective To explore the classification and efficacy of traumatic posterior cranial fossa fractures. Methods 155 cases were diagnosed by CT examination to determine for traumatic posterior fossa fracture involving the wounded and merger, at the same time will find traumatic cerebellopontie angle syndrome, as one of the key content classification, GCS score 3 to 15 points, and according to the clinical symptoms and signs combined with CT examination put forward the new classification, through the selection of parting early surgical and non-surgical treatment. Results 155 cases of posterior cranial fossa fracture and its associated injury were classified into type I-VI, and the therapeutic effect was evaluated according to GOS score after 6 months follow-up. Among the 75 cases, 50 cases were treated with 5 points, 16 cases were treated with 14 points, 5 cases were treated with 3 points, 2 cases were treated with 2 points, 2 cases were treated with 1 point, and the rest 80 cases were treated without operation with 4-5 point. Conclusion The new classification of type I-VI proposed by our group and the selection of ultra-early surgical and non-surgical treatment according to the classification are the key to reduce the mortality and disability rate in this study. Especially, the traumatic cerebellopontine angle syndroma proposed by zhang yan ping that important significance of timely operation.
VL  - 9
IS  - 6
ER  -

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Author Information

Zhang Yanping

Departament of Neurosurogery Guo Xin Yi Yang Group, Zibo Hospital, Zibo City, China
Zhang Pan

Departament Emnegement, Lin Zi Qu Du Hospital, Zibo City, China

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Plain Text BibTeX RIS

APA Style

Zhang Yanping, Zhang Pan. (2021). Classification and Clinical Significance of Traumatic Posterior Cranial Fossa Fractures. Journal of Surgery, 9(6), 252-255. https://doi.org/10.11648/j.js.20210906.11

Copy | Download

ACS Style

Zhang Yanping; Zhang Pan. Classification and Clinical Significance of Traumatic Posterior Cranial Fossa Fractures. J. Surg. 2021, 9(6), 252-255. doi: 10.11648/j.js.20210906.11

Copy | Download

AMA Style

Zhang Yanping, Zhang Pan. Classification and Clinical Significance of Traumatic Posterior Cranial Fossa Fractures. J Surg. 2021;9(6):252-255. doi: 10.11648/j.js.20210906.11

Copy | Download

@article{10.11648/j.js.20210906.11,
  author = {Zhang Yanping and Zhang Pan},
  title = {Classification and Clinical Significance of Traumatic Posterior Cranial Fossa Fractures},
  journal = {Journal of Surgery},
  volume = {9},
  number = {6},
  pages = {252-255},
  doi = {10.11648/j.js.20210906.11},
  url = {https://doi.org/10.11648/j.js.20210906.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20210906.11},
  abstract = {Objective To explore the classification and efficacy of traumatic posterior cranial fossa fractures. Methods 155 cases were diagnosed by CT examination to determine for traumatic posterior fossa fracture involving the wounded and merger, at the same time will find traumatic cerebellopontie angle syndrome, as one of the key content classification, GCS score 3 to 15 points, and according to the clinical symptoms and signs combined with CT examination put forward the new classification, through the selection of parting early surgical and non-surgical treatment. Results 155 cases of posterior cranial fossa fracture and its associated injury were classified into type I-VI, and the therapeutic effect was evaluated according to GOS score after 6 months follow-up. Among the 75 cases, 50 cases were treated with 5 points, 16 cases were treated with 14 points, 5 cases were treated with 3 points, 2 cases were treated with 2 points, 2 cases were treated with 1 point, and the rest 80 cases were treated without operation with 4-5 point. Conclusion The new classification of type I-VI proposed by our group and the selection of ultra-early surgical and non-surgical treatment according to the classification are the key to reduce the mortality and disability rate in this study. Especially, the traumatic cerebellopontine angle syndroma proposed by zhang yan ping that important significance of timely operation.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - Classification and Clinical Significance of Traumatic Posterior Cranial Fossa Fractures
AU  - Zhang Yanping
AU  - Zhang Pan
Y1  - 2021/11/05
PY  - 2021
N1  - https://doi.org/10.11648/j.js.20210906.11
DO  - 10.11648/j.js.20210906.11
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 252
EP  - 255
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20210906.11
AB  - Objective To explore the classification and efficacy of traumatic posterior cranial fossa fractures. Methods 155 cases were diagnosed by CT examination to determine for traumatic posterior fossa fracture involving the wounded and merger, at the same time will find traumatic cerebellopontie angle syndrome, as one of the key content classification, GCS score 3 to 15 points, and according to the clinical symptoms and signs combined with CT examination put forward the new classification, through the selection of parting early surgical and non-surgical treatment. Results 155 cases of posterior cranial fossa fracture and its associated injury were classified into type I-VI, and the therapeutic effect was evaluated according to GOS score after 6 months follow-up. Among the 75 cases, 50 cases were treated with 5 points, 16 cases were treated with 14 points, 5 cases were treated with 3 points, 2 cases were treated with 2 points, 2 cases were treated with 1 point, and the rest 80 cases were treated without operation with 4-5 point. Conclusion The new classification of type I-VI proposed by our group and the selection of ultra-early surgical and non-surgical treatment according to the classification are the key to reduce the mortality and disability rate in this study. Especially, the traumatic cerebellopontine angle syndroma proposed by zhang yan ping that important significance of timely operation.
VL  - 9
IS  - 6
ER  -

Copy | Download