Abstract
Two cases of skull fractures involving paranasal sinuses either caused by traffic accidents were presented.
The first case is a 55-year-old male who has been hit by a train causing him the severe fractures of the right frontal bone involving right frontal sinus associating an epidural hematoma.
The second case is a 35-year-old male sustained, the extensive fracture of the base of the skull with contusion of bilateral ethomoid, cells and right eye ball, there was an extensive dural exposure at the anterior cranial fossa accompanied by a brain hernia.
Either of the cases has been treated successfully by the joint efforts of otolaryngologists and neurosurgeons.
Discussing these cases from various points of views, authors concluded as follows: The treatment of the skull fractures involving the paranasal sinuses should be carried out with special attention to the paranasal sinuses and the thorough debrigdement of the presumably infected tissues is necessary for the benifit of averting the impending intracranial complications, and this can be done most efficiently by adopting a lateral rhinotomy.
Comment is also, made. about the use of tracheotomy in skull, fractures.
