MANAGEMENT AND OUTCOME OF DEPRESS SKULL FRACTURE
Objective: To find outcome of Depressed Skull Fracture.
Study Design: DISCRIPTIVE STUDY.
Place and Duration of Study: This study was conducted from March 2007- Feb 2010 in Saidu Teaching
Material and Methods: One hundred and twenty seven patient with Depressed Skull Fracture were
included in this study. All patients came through casualty Department, from Malakand division, X ray skull
were done in casualty in all cases. CT Brain was performed in 89 cases (70.7%), patients with fire arm injury,
penetrating injury, conservatively treated Depressed Skull Fracture were excluded from the study. Cases
operated for depressed skull fracture were included in our study,
Results: A total 127 patients were operated. There were 75 male (59.0%) and 52 female patients (40.0%).
Compound Depressed Skull Fracture were found in 101 patients (79.5%) close Depressed Skull Fracture
were 26 cases (20.4%).The bones involved were frontal in 14 Patients (20.4%) 41 cases were Parietal
(32.2%) 25 were temporal (19.6%) 12 was occipital (9.4%) and 35 was miscellaneous/Multiple Fracture
(27.5%). Indication for surgery was Depressed Skull Fracture more than five millimeter in all open
Depressed Skull Fracture, leaking cerebral spinal fluid (CSF), oozing brain matter along with Depressed
Skull Fracture. Post operatively 101 patients (79.52%) have full neurological recovery, 5 patient
(3.93%)hemi paretic, 5 patient dysphasic (3.93%) 14 Patients (11.2%) develop . complication like
meningitis , pneumonia and abscesses , 2 patient (1.57%) were vegetative state.
Key Words: Depressed Skull Fracture * Road traffic accident * Head injury *
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