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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]
The sphenoid bone [note 1] is an unpaired bone of the neurocranium. It is situated in the middle of the skull towards the front, in front of the basilar part of the occipital bone. The sphenoid bone is one of the seven bones that articulate to form the orbit. Its shape somewhat resembles that of a butterfly, bat or wasp with its wings extended.
The term skull fracture typically means fractures to the neurocranium, while fractures of the facial portion of the skull are facial fractures, or if the jaw is fractured, a mandibular fracture. [23] The eight cranial bones are separated by sutures: one frontal bone, two parietal bones, two temporal bones, one occipital bone, one sphenoid bone ...
The pterion is the region where the frontal, parietal, temporal, and sphenoid bones join. [1] It is located on the side of the skull, just behind the temple.It is also considered to be the weakest part of the skull, which makes it clinically significant, as if there is a fracture around the pterion it could be accompanied by an epidural hematoma.
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 lateral pterygoid plate of the sphenoid (or lateral lamina of pterygoid process) is broad, thin, and everted and forms the lateral part of a horseshoe like process that extends from the inferior aspect of the sphenoid bone, and serves as the origin of the lateral pterygoid muscle, which functions in allowing the mandible to move in a lateral and medial direction, or from side-to-side.
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 greater wings of the sphenoid are two strong processes of bone, which arise from the sides of the body, and are curved upward, laterally, and backward; the posterior part of each projects as a triangular process that fits into the angle between the squamous and the petrous part of the temporal bone and presents at its apex a downward-directed process, the spine of sphenoid bone.