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The ethmoid bone (/ ˈ ɛ θ m ɔɪ d /; [1] [2] from Ancient Greek: ἡθμός, romanized: hēthmós, lit. 'sieve') is an unpaired bone in the skull that separates the nasal cavity from the brain. It is located at the roof of the nose, between the two orbits. The cubical bone is lightweight due to a spongy construction.
A basilar skull fracture typically requires a significant degree of trauma to occur. [1] It is defined as a fracture of one or more of the temporal, occipital, sphenoid, frontal or ethmoid bone. [1] Basilar skull fractures are divided into anterior fossa, middle fossa and posterior fossa fractures. [1] Facial fractures often also occur. [1]
A skull fracture is a break in one or more of the eight bones that form the cranial portion of the skull, usually occurring as a result of blunt force trauma.If the force of the impact is excessive, the bone may fracture at or near the site of the impact and cause damage to the underlying structures within the skull such as the membranes, blood vessels, and brain.
The formerly used 'tripod fracture' refers to these buttresses, but did not also incorporate the posterior relationship of the zygoma to the sphenoid bone at the zygomaticosphenoid suture. [citation needed] There is an association of ZMC fractures with naso-orbito-ethmoidal fractures (NOE) on the same side as the injury.
The Le Fort III fracture (transverse fracture) occurs at the level of the skull base, resulting in complete craniofacial separation of the midface from the base of the skull. [ 2 ] [ 3 ] The fracture line extends through the zygomatic arch , the pterygoid plates , the lateral and medial orbital walls , the nasal bones , and the nasal septum .
The two broad categories of blowout fractures are open door and trapdoor fractures. Open door fractures are large, displaced and comminuted, and trapdoor fractures are linear, hinged, and minimally displaced. [4] The hinged orbital blowout fracture is a fracture with an edge of the fractured bone attached on either side. [5]
A fractured cribriform plate can result in olfactory dysfunction, septal hematoma, cerebrospinal fluid rhinorrhoea (CSF rhinorrhoea), and possibly infection which can lead to meningitis. CSF rhinorrhoea (clear fluid leaking from the nose) is very serious and considered a medical emergency .
Nerves and muscles may be trapped by broken bones; in these cases the bones need to be put back into their proper places quickly. [4] For example, fractures of the orbital floor or medial orbital wall of the eye can entrap the medial rectus or inferior rectus muscles. [29] In facial wounds, tear ducts and nerves of the face may be damaged. [3]