Association of skull base and facial fractures

Abstract

A retrospective analysis of 268 trauma patients with facial fractures who received computed tomography of the head was undertaken to assess an association with skull base fractures. The incidence of skull base fracture was compared to facial fractures of various anatomic locations. Skull base fractures were significantly increased in orbital wall/rim fractures (36.0%, P=.0823). In contrast, skull base fractures related to orbital floor (27.3%, P=.6191) and maxillary/ zygomatic (29.4%, P=.1148) fractures were not significantly greater and were infrequently seen with mandible (4.0%, P=.0454) and nasal (7.7%, P=.0345) fractures. The incidence of skull base fracture was directly associated with the number of facial fractures per patient; one facial fracture (21.0%), two facial fractures (30.4%), and three or more facial fractures (33.3%) (P