Yazarlar |
Doç. Dr. Ziya ASAN
Kırşehir Ahi Evran Üniversitesi, Türkiye |
Doç. Dr. Hacı Mehmet ÇALIŞKAN
Kırşehir Ahi Evran Üniversitesi, Türkiye |
Dr. Öğr. Üyesi Yahya ŞAHİN
Kırşehir Ahi Evran Üniversitesi, Türkiye |
Dr. Öğr. Üyesi Canan ŞAHİN
Kırşehir Ahi Evran Üniversitesi, Türkiye |
Fatih Durna
|
Özet |
Aim: We aimed to evaluate the clinical and radiological follow-up of cases with isolated linear fractures detected in the cranium in the post-traumatic period, to determine on which cases and when to perform control radiological examinations and to suggest follow-up protocol. Material and Method: 442 cases with isolated linear cranium fracture were evaluated in the study. Imaging examinations and clinical findings of the cases at the time of admission were compared with radiological examinations and clinical findings at follow-up. Fracture localizations and trauma types were compared. Accompanying maxillofacial fractures depending on the localization of fractures detected in the cranium were determined. Results: In the follow-up CT examinations of 18 out of 442 cases, cerebral contusion in 12 cases and epidural hematoma in 1 case, not detected during initial admission were found. Post-traumatic epilepsy was observed in 4 cases without radiologic findings. In cases receiving follow-up radiological examinations, no significant difference was found between radiological examinations performed during 4-6 hours versus 12-24 hours after trauma. Discussion: Isolated linear fracture cases do not require neurosurgical intervention. The treatment protocol may change depending on findings during the follow-up period. Performing routine follow-up radiological examinations is not cost-effective in cases in which no additional finding is present, and symptoms do not persist. |
Anahtar Kelimeler |
Linear Fractures | Cranial Fractures | Calvarium | Head Trauma | Mild Head Trauma |
Makale Türü | Özgün Makale |
Makale Alt Türü | SCOPUS dergilerinde yayımlanan tam makale |
Dergi Adı | JOURNAL OF CLINICAL AND ANALYTICAL MEDICINE |
Dergi ISSN | 1309-0720 |
Dergi Tarandığı Indeksler | DOAJ, EMBASE, SCOPUS, İndex Copernicus, Plexus Medline, TÜBİTAK ULAKBİM |
Makale Dili | İngilizce |
Basım Tarihi | 09-2018 |
Cilt No | 9 |
Sayı | 5 |
Sayfalar | 425 / 429 |
Doi Numarası | 10.4328/JCAM.5792 |
Makale Linki | https://www.researchgate.net/publication/327370813_Linear_fractures_of_the_cranium_follow-up_and_management_results_of_442_cases |