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The petrous part of the temporal bone is pyramid-shaped and is wedged in at the base of the skull between the sphenoid and occipital bones.Directed medially, forward, and a little upward, it presents a base, an apex, three surfaces, and three angles, and houses in its interior the components of the inner ear.
Temporal bone fractures were historically divided into three main categories, longitudinal, in which the vertical axis of the fracture paralleled the petrous ridge, horizontal, in which the axis of the fracture was perpendicular to the petrous ridge, and oblique, a mixed type with both longitudinal and horizontal components.
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 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 middle cranial fossa is formed by the sphenoid bones, and the temporal bones. It lodges the temporal lobes, and the pituitary gland. [1] [2] It is deeper than the anterior cranial fossa, is narrow medially and widens laterally to the sides of the skull. It is separated from the posterior cranial fossa by the clivus and the petrous crest.
Anteriorly, the posterior cranial fossa is bounded by the dorsum sellae, posterior aspect of the body of sphenoid bone, and the basilar part of occipital bone/clivus. [2] Laterally, it is bounded by the petrous parts and mastoid parts of the temporal bones, and the lateral parts of occipital bone. [2]
This is combination with the retrolabyrinthine and transmastoid approaches, enables visualization of the entire course of the facial nerve and still preserves function of the inner ear. The middle cranial foassa technique is most commonly used for the decompression of the facial nerve in Bell's palsy and longitudinal temporal bone fracture.