The Surgery of the Skull and BrainRawling, Louis Bathe
Science
The Surgery of the Skull and Brain
Rawling, Louis Bathe
Brain -- Surgery; Skull -- Surgery
2. Force applied to The fracture passes across the anterior fossa
the lateral frontal towards the sphenoidal fissure, tearing away the
region, in the anterior clinoid process, and again comminutes the
situation of the roof of the sphenoidal sinus. Progressing onwards,
external angular with or without fracturing the posterior clinoid
frontal process. process, the fracture passes either along the
anterior part of the petrous bone at its junction
with the greater wing of the sphenoid towards the
opposite middle and external ears, or along the
petro-occipital suture to the jugular foramen, and
continued along the masto-occipital suture as in
the previous case.
[Illustration: FIG. 33. DIAGRAM OF LINES PURSUED BY BASIC FRACTURES.
Force applied to the lateral frontal region in the situation of the
external angular frontal process.]
3. Force applied to The fracture passes across the roof of the bony
the region of the auditory meatus towards the junction of the
external ear. anterior and inner walls of the middle ear, the
membrane undergoing a variable amount of
destruction and displacement. The fracture is then
continued across the tegmen tympani, and after
following the petro-sphenoidal suture reaches the
foramen lacerum medium, being again continued on
the opposite side of that foramen to the
sphenoidal body. Thence it pursues one of two
courses. Most commonly the fracture passes
backwards obliquely to the opposite middle and
external ears, following a course similar to that
already indicated.
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