Correlation of fracture depression area and dural tear among patients with depressed skull fracture

Correlation of fracture depression area and dural tear among patients with depressed skull fracture


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دانشگاه علوم پزشکی تبریز
دانشگاه علوم پزشکی تبریز

نویسندگان: غفار شکوهی تبریزی , سید احمد ناصری علوی , مسلم شاکری باویل علیائی , فیروز صالحپور , علی مشکینی , مرتضی کوثری نسب

کلمات کلیدی: Depressed skull fracture, Dural tear, Neurosurgery, Skull fracture

نشریه: 0 , 3 , 8 , 2020

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نویسنده ثبت کننده مقاله غفار شکوهی تبریزی
مرحله جاری مقاله تایید نهایی
دانشکده/مرکز مربوطه دانشکده پزشکی
کد مقاله 74773
عنوان فارسی مقاله Correlation of fracture depression area and dural tear among patients with depressed skull fracture
عنوان لاتین مقاله Correlation of fracture depression area and dural tear among patients with depressed skull fracture
ناشر 6
آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ خیر
عنوان نشریه (خارج از لیست فوق) Journal of Surgery and Trauma
نوع مقاله Original Article
نحوه ایندکس شدن مقاله ایندکس شده سطح چهار – SID/Iranmedex/Magiran
آدرس لینک مقاله/ همایش در شبکه اینترنت

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Abstract Introduction: Depressed skull fracture means to have a fracture that has a depth of more than a bone thickness. Consequently, the force is very small to a blunt object, which is often seen in the frontoparietal region due to the low bone thickness in the area. On the other hand, tearing of the dura matter beneath the depressed fractures has a great value from the prognostic and surgical point of view. This study aimed to investigate the relationship between the area of the depressed fracture and dural tear using computerized tomography scan at admission. Methods: This cross-sectional study was performed on 40 patients who had been diagnosed with depressed skull fractures atImam Reza Educational Center, Tabriz University of Medical Sciences, Tabriz, Iran,within2016-2017. The level of consciousness, Glasgow Coma Scale, and symptoms on admission were evaluated for each patient. The collected data were analyzed in SPSS software (version 22) using student's t-test and Chi-square test for statistical analysis of parametric and nonparametric variables. A p-value of less than 0.05 was considered significant. Results: The mean age of the cases was obtained as 34/9±14/32 (18-60) years. The mean depressed fracture area (6/93±5/52) ranged from 0/79-19/63cm² (7.13±5.99) for the patients with dural tear and 6.93±5.66 for the ones with intact dura. The cut-off point for predicting dural tear was determined 6.92 cm² with 84% sensitivity. Conclusions: It was revealed that there was a significant correlation between the area of fracture depression and dural tear. Furthermore, in patients with dural tear, fracture depression level was considerably higher than that in patients with intact dura.

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نویسنده نفر چندم مقاله
غفار شکوهی تبریزیاول
سید احمد ناصری علویدوم
مسلم شاکری باویل علیائیسوم
فیروز صالحپورچهارم
علی مشکینیپنجم
مرتضی کوثری نسبششم

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