Traumatology of the skull base : anatomy, clinical and radiological diagnosis, operative treatment

As a result of its structure, the skull base forms a borderline between different medi­ cal and surgical specialties. Nevertheless, the pathology of the skull may involve crossing these boundaries. Consequently, treatment may require a multidisciplinary approach with close cooperation between different specialists, each with his specific knowledge and capabilities. A good example is the cooperation needed in the treat­ ment of skull base trauma. The Skull Base Study Group was founded some years ago in view of this situa­ tion. Its purpose is to organize international conferences on topics related to skull base pathology. The first was held in June 1982 and focused on the area of trauma­ tology. The present volume contains articles written by the highly qualified con­ tributors to the June 1982 conference, dealing with the anatomical, biomechan­ ical, and neuroradiological aspects of skull base fractures and their consequences in neurologic and vascular dysfunction and deficits. Many authors from Europe and abroad have contributed to the high standard of this book. I would like to congratulate the Editors on the publication of this volume. It contains many important and interesting aspects of particular value to all medical and surgical specialists working in or on one of either sides of the skull base. Front Matter....Pages I-XIV Front Matter....Pages 1-1 Anatomy of the Skull Base Related to Trauma....Pages 3-34 Cerebral Contusions — Correlations Between C. T., Angiography, and the Vascular Anatomy of the Brain and Skull Base....Pages 35-41 Experimental Fractures of the Skull Base....Pages 42-43 Interaction Between the Skull Base and the Skull Contents at Impact to the Skull....Pages 44-49 Front Matter....Pages 51-51 Radiologic Evaluation of Skull Base Trauma....Pages 53-60 Fronto-Basal Injuries — Principles in Diagnosis and Treatment....Pages 61-69 Maxillo-Facial Injuries — Principles in Diagnosis and Treatment....Pages 70-75 Latero-Basal Injuries....Pages 76-87 Traumatic Injuries of the Planum Occipitale and Posterior Fossa Brain Parenchyma....Pages 88-93 Is General Anaesthesia Detrimental in Severe Acute Head Injury?....Pages 94-98 Front Matter....Pages 99-99 Olfaction After Frontobasal Trauma With and Without Surgery....Pages 101-107 Front Matter....Pages 109-109 Indications to Operate on Orbital Fractures....Pages 111-119 Orbital Fractures. A Review of 589 Patients With 750 Fractured Orbits....Pages 120-131 Surgical Treatment of Orbital Blow-Out Fractures....Pages 132-135 Treatment of Ocular Pareses....Pages 136-144 Front Matter....Pages 145-145 Facial Nerve in its Borderline from the Intratemporal to the Extratemporal Segment....Pages 147-151 Management of Traumatic Facial Palsy....Pages 152-154 Facial Paralysis After Trauma of the Skull....Pages 155-163 Intra-Cranial Reconstruction of Facial Nerve After Lateral Basal Fracture....Pages 164-170 Front Matter....Pages 171-171 Etiology and Clinical Features of Post-Traumatic Hearing Loss....Pages 173-176 Front Matter....Pages 171-171 Reconstruction of the Ossicular Chain After Traumatic Lesions....Pages 177-179 Hearing Loss Due to Traumatic Ruptures of the Tympanic Membrane and Fistulae of the Round and Oval Window....Pages 180-186 Front Matter....Pages 187-187 Angiographic Study of Carotid Cavernous Fistulas (CCF)....Pages 189-195 Internal Carotid Artery Aneurysms....Pages 196-200 Front Matter....Pages 201-201 Radiology of Traumatic Lesions of the Cranio-Vertebral Region....Pages 203-213 Traumatic Lesions of Cranio-Cervical Junction....Pages 214-226 Round Table Discussion on Timing, Priority and Multidisciplinary Approach to Skull Base Trauma....Pages 227-229 Back Matter....Pages 231-240