Complex cranial base trauma resulting from recreational fireworks injury: case reports and review of the literature

Neurosurgery. 1992 Apr;30(4):570-6. doi: 10.1227/00006123-199204000-00016.

Abstract

Two patients who sustained complex skull base trauma secondary to recreational fireworks injuries are reported. Initial assessment and management included axial and coronal computerized tomography, control of hemorrhage, debridement of wound and brain, isolation of brain from external environment, and reconstruction of the cranial base floor. Secondary orbital and facial reconstruction used available bone fragments and iliac bone graft in one patient and vascularized free tissue transfer in the other. In both patients, reconstruction of both the intracranial and extracranial compartments was successful with acceptable cosmetic result. Modification of multiple conventional approaches, along with a multispecialty surgical team, was used to deal effectively with these unique cases.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Blast Injuries / etiology
  • Blast Injuries / surgery*
  • Burns / etiology
  • Burns / surgery
  • Craniocerebral Trauma / etiology
  • Craniocerebral Trauma / surgery*
  • Dura Mater / transplantation
  • Encephalomalacia / etiology
  • Explosions*
  • Eye Enucleation
  • Eye Injuries / etiology
  • Eye Injuries / surgery
  • Facial Bones / injuries
  • Facial Bones / surgery
  • Facial Injuries / etiology
  • Facial Injuries / surgery
  • Female
  • Fractures, Open / etiology
  • Fractures, Open / surgery*
  • Frontal Lobe / injuries
  • Frontal Lobe / surgery
  • Humans
  • Male
  • Orbital Fractures / etiology
  • Orbital Fractures / surgery
  • Skull Fractures / etiology
  • Skull Fractures / surgery*
  • Surgery, Plastic / methods*
  • Surgical Flaps
  • Wounds, Penetrating / etiology
  • Wounds, Penetrating / surgery*