Research Article

Management of Penetrating Skull Base Injury: A Single Institutional Experience and Review of the Literature

Table 1

Demographics and clinical data for patients of PSBI.

CaseAge and genderMechanism of injuryType and size of foreign bodyPenetrating pathwaySymptoms and concurrent conditionsDSA findingsInterval to operationOperationSurgical approachResidual fractionAntibiotics usedSymptoms at discharge

175/femaleAccidentBamboo, 7 cmLeft orbit-superior orbital fissure-anterior skull base-left temporal lobeHeadache, dizziness, brain abscessNegative20 daysYesOrbitozygomatic approach and pterional craniotomyNoMetronidazole, ceftazidime, vancomycin, linezolid, biapenemFree of symptom
232/maleAccidentGrinding wheel, 6.5 cmLeft maxilla-infratemporal fossa-middle cranial fossa, cistern of lateral sulcusHeadache, brain abscessNegative19 daysYesTemporozygomatic approachNoLinezolidEpilepsy
342/maleAccidentElectrodrill, 2.2 cmLeft eyebrow-anterior cranial base-left frontal lobeHeadache, cerebral contusionNot conductedNo operationNoYesLinezolid, biapenemSlight headache
429/maleAccidentScrew, 5.4 cmRight orbit-anterior cranial base-right frontal lobeHeadache, blurred vision, anterior skull base fracture, oculomotor nerve injuryNot conducted2 daysYesFrontotemporal approachNoVancomycin, linezolidImproved vision, oculomotor nerve injury
540/maleAccidentHot projective oil paint, 3.4 cmRight orbit-anterior cranial base-right frontal lobeHeadache, blindness, right eye penetrating injury, frontal hematomaNot conducted4 daysYesSubfrontal approachYesVancomycin, ceftriaxoneBlindness