Skip to main content
SpringerLink
Log in

Surgery of Traumatic Lesions of the Middle Skull Base

  • Chapter
Surgery of the Skull Base

Abstract

Trauma to the medial and lateral portions of the middle skull base with injuries to bone, dura, brain, and neurovascular structures can be an indication for operative treatment. Otologic aspects of these injuries have been reviewed in comprehensive survey works by H. B. Boenninghaus (1979), F. Escher (1973), W. Kley (1968, 1976) and other authors. Current neurosurgical guidelines on the treatment of lateral skull base injuries have been published by Becker and Ward (1982), Gillingham et al. (1971), Guleke (1950), Kessel (1969), Metzel (1973, 1980), and Samii and Brihaye (1983). These works are particularly instructive with regard to clinical presentation and evaluation. Here we shall focus on the indications for operative treatment and corresponding techniques that have evolved from years of cooperative experience between the neurosurgical and otorhinolaryngologic specialties.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 159.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Adson AW (1942) Surgical treatment of vascular diseases altering functions of eyes. Am J Ophthalmol 25:824.

    Google Scholar 

  • Becker DP, Ward J (1982) Surgical management of head injuries. In: Schmideck HH, Sweet WH (eds) Operative neurosurgical techniques, vol 1. Grune and Stratton, New York, pp 175–190.

    Google Scholar 

  • Besson G, Guy G, Bedon G, Becume B, Kerdiles Y (1975) Les fistules carotido-caverneuses. Rev Oto-Neuro-Ophthalmol 47:259–268.

    CAS  Google Scholar 

  • Boenninghaus HG (1979) Ohrverletzungen. In: Berendes J, Link R, Zöllner F (eds) Hals-Nasen-Ohren Heilkunde in Praxis und Klinik, 2nd edn. Ohr 1/20. Thieme, Stuttgart.

    Google Scholar 

  • Brackmann DE (1984) The translabyrinthine approach. In: Sasaki CT, McCabe BF, Kirchner JA (ed) Surgery of the skull base. Lippincott, Philadelphia.

    Google Scholar 

  • Brooks B (1931) Discussion: Noland L, Taylor AS: Trans South Surg Ass 43:176–177.

    Google Scholar 

  • Bushe KA (1973) Unabweisbare neurochirurgische Akutsituationen im allgemeinen Krankenhaus. Langenbecks Arch Chir 334, 336.

    Article  Google Scholar 

  • Chowdhary UM (1978) Treatment of carotid-cavernous fistula using a ballon-tipped intra-arterial catheter. J Neurol Neurosurg Psychiatr 41:996–1000.

    Article  PubMed  CAS  Google Scholar 

  • Clerc PR, Batisse R (1954) Abord des organes intrapetreux par voie endo-cranienne (greffe du nerf facial). Ann Otolaryng 71:20–38.

    CAS  Google Scholar 

  • Cophignon J, Djindjian R, Rey A (1974) Treatment of carotid-cavernosus fistulae. Ann Radiol 17:275–277.

    PubMed  CAS  Google Scholar 

  • Dandy WE (1935) The treatment of carotid cavernosus aneurysms. Ann Surg 102:916–920.

    Article  PubMed  CAS  Google Scholar 

  • Dandy WE (1937) Carotid cavernous aneurysms (pulsating exophthalmos) 2 bl Neurochir 2:77–206.

    Google Scholar 

  • Debrun G (1982) Treatment of certain intracerebral vascular lesions with balloon catheters. In: Schmideck HH, Sweet WH (ed): Operative neurosurgical techniques, vol 2. Grune & Stratton, New York, London, pp 789–811.

    Google Scholar 

  • Debrun G, Lacour P, Caron JP, Hurth M, Comoy J, Keravel Y (1975) Experimental approach of treatment of carotid-cavernosus sinus fistulaes with an inflatable and isolated balloon. Neuroradiology 9:9–12.

    Article  Google Scholar 

  • Debrun G, Lacour P, Vinuela FV, Fox AJ, Drake Ch, Caron JP (1981) Treatment of 54 traumatic carotic cavernosus fistulaes. In: J Neurosurg 55:678–692.

    Article  PubMed  CAS  Google Scholar 

  • Dietrich U (1981) Karotis-Sinus Cavernosus Fisteln. Dissertation, University of Mainz.

    Google Scholar 

  • Djindjian R (1974) Superselective arteriographic embolization by the femoral route in neuroradiology. Neuroradiology 6:143–152.

    Article  Google Scholar 

  • Echols DM, Jackson JD (1959) Carotid cavernosus fistula. A perplexing surgical problem. J Neurosurg 16:619–628.

    Article  PubMed  CAS  Google Scholar 

  • Escher F (1973) Das Schädelbasistrauma in otorhinologischer Sicht. HNO 21:129.

    PubMed  CAS  Google Scholar 

  • Fisch U (1969) Oto-neurosurgical operation. In: Yasargil MG (ed) Microsurgery applied to neurosurgery. Thieme, Stuttgart.

    Google Scholar 

  • Fisch U (1970) Transtemporal surgery of the internal auditory canal. Report of 92 cases, technique, indications and results. Adv. Otorhinolaryngol 17:203.

    PubMed  CAS  Google Scholar 

  • Fisch U (1976) Chirurgie am inneren Gehörgang und an benachbarten Strukturen. In: Naumann HH (ed) Kopf und Halschirurgie, vol 3. Thieme, Stuttgart, pp 457–543.

    Google Scholar 

  • Friedmann G, Frowein RA, Luster G (1970) Karotis-Sinus-cavernosus-Aneurysmen. Fortschr Neurol Psychiatr 38:57–79.

    CAS  Google Scholar 

  • Geyer G, Helms J (1983) Wertigkeit der Neurektomie bei cochleovestibulären Störungen. Laryngol Rhilon Otol 62:302–305.

    Article  CAS  Google Scholar 

  • Gillingham FJ, Shaw JF, Fraser J, Hitchcock ER, Harris P (1971) Head Injuries. Livingstone, Edinburgh.

    Google Scholar 

  • Goldhahn G (1967) Diagnose und Therapie der Karotis-Sinus-cavernosus-Aneurysmen. Psychiatr Neurol Psychol (Leipzig) 19:218–229.

    CAS  Google Scholar 

  • Grunert V, Sunder-Plassmann M (1971) Beitrag zur chirurgischen Therapie der Karotis-Kavernosus Fisteln. Acta Neurochir 25:109–114.

    Article  CAS  Google Scholar 

  • Guleke N (1950) Die Eingriffe am Gehirnschädel, Gehirn, an der Wirbelsäule und am Rückenmark. Springer, Berlin Göttingen Heidelberg, chaps 2, 3, 9, 10, 17.

    Google Scholar 

  • Hamby WB (1964) Carotid cavernous fistula. Report of 32 surgically treated cases and suggestions for definitive operation. J Neurosurg 21:859–867.

    Article  PubMed  CAS  Google Scholar 

  • Hamby WB (1966) Carotid-Cavernous Fistulae. Charles C Thomas, Springfield, Illinois.

    Google Scholar 

  • Hamby WB, Gardner WS (1933) Treatment of pulsating exophthalmos with report of 2 cases. Arch Surg (Chicago) 27:676–685.

    Article  Google Scholar 

  • Harker LA, McCabe BF (1984) Middle cranial fossas approach to skull base surgery. In: Sasaki CT, McCabe BF, Kirchner JA (ed) Surgery of the Skull Base. Lippincott, Philadelphia.

    Google Scholar 

  • Helms J (1985) Die chirurgische Therapie des M. Meniere. Arch Otorhinolaryngol Suppl 1985/I p 68–118.

    Google Scholar 

  • Hermann HD, Fischer D, Loew F (1975) Experiences with intraluminal occlusion with the Fogarty catheter in the treatment of carotid-cavernous sinus fistulaes and other lesions at the base of the skull. Acta Neurochir 32:35–54.

    Article  Google Scholar 

  • House WF (1961) Surgical exposure of the internal auditory canal and its contents through the middle cranial fossa. Laryngoscope 71:1363–1385.

    Article  PubMed  CAS  Google Scholar 

  • House WF, Hitselberger WE (1966) Surgical approaches to acoustic tumors. Arch otolaryngol 84/3:286–291.

    Google Scholar 

  • Isamat F, Salleras V, Miranda AM (1970) Artificial embolisation of carotid-cavernous fistula with postoperative potency of internal carotid artery. J Neurol Neurosurg Psychiat 33:674–678.

    Article  PubMed  CAS  Google Scholar 

  • Isfort A (1967) Probleme der chirurgischen Behandlung von Carotis-Cavernosus-Fisteln. Zbl Chir II: 1519–1524.

    Google Scholar 

  • Jaeger R (1942) Intracranial aneurysms. South Surg 15:205–217.

    Google Scholar 

  • Kessel FK, Guttmann L, Maurer G (1969) Neuro-Trau-matologie mit Einschluß der Grenzgebiete. Urban & Schwarzenberg, München.

    Google Scholar 

  • Kley W (1968) Die Unfallchirurgie der Schädelbasis und der pneumatischen Räume. Arch Ohr Nas Kehlk Heilk 191:1.

    Article  CAS  Google Scholar 

  • Kley W (1976) Operationen bei Verletzungen der Ohrregion. In: Naumann HH (ed) Kopf-und Halschirurgie, vol 3: Ohrregion. Thieme, Stuttgart, p 259–294.

    Google Scholar 

  • Krayenbühl W (1967) Treatment of carotid-cavernous fistula consisting of a one-stage operation by muscle embolization of the fistulous segment. In: Donaghy and Yasargil (eds) Microvascular surgery. Thieme, Stuttgart.

    Google Scholar 

  • Krayenbühl H, Yasargil MG (1965) Die zerebrale Angiographie. Thieme, Stuttgart.

    Google Scholar 

  • Land ER, Bucy PL (1965) Treatment of carotid-cavernous fistula by muscle embolisation alone: The Brooks method. J Neurosurg 22:387–392.

    Article  Google Scholar 

  • Lang J (1979) In: von Lanz T, Wachsmuth W (eds) Praktische Anatomie, vol 1, part 1. Springer, Berlin.

    Google Scholar 

  • Lang J, Schäfer K (1976) Über Ursprung und Versorgungsgebiete der intracavernösen Strecke der A. carotis interna. Gegenbauers Morphol Jahrb 122:182.

    CAS  Google Scholar 

  • Lanksch W, Grumme Th, Kazner E (1978) Schädelhirnverletzungen im Computertomogramm. Springer, Berlin.

    Google Scholar 

  • Larson SJ, Worman LW (1968) Internal carotid artery flow rate during craniotomy and muscle embolisation for carotid-cavernous fistula; report of four cases. J Neurosurg 29:60–64.

    Article  PubMed  CAS  Google Scholar 

  • McCormick WF, Kelly PJ, Sarwar M (1976) Fatal paradoxical muscle embolisation in traumatic carotid-cavernous fistula repair: case report. J Neurosurg 44:513–516.

    Article  PubMed  CAS  Google Scholar 

  • Metzel E (1973) Dringende diagnostische und therapeutische Maßnahmen bei Schädelhirnverletzungen. Z Allgemeinmed 49:271–276.

    PubMed  CAS  Google Scholar 

  • Metzel E (1980) Pathologische Prozesse der Schädelbasis. Diagnostik und Therapie aus neurochirurgischer Sicht. In: Berendes J, Link R, Zöllner F (eds) Hals Nasen Ohren Heilkunde in Praxis und Klinik, 2nd edn, vol 6, Ohr II. Thieme, Stuttgart 36, p 1–42.

    Google Scholar 

  • Michailow SS (1964) Makro-und mikroskopische Untersuchungen des Baues des Sinus cavernosus. Anat Anz 115:233.

    PubMed  CAS  Google Scholar 

  • Moniz I (1934) L’angiographie cerebrale. Paris, Masson.

    Google Scholar 

  • Moringlane JR, Samii M (1981) Beitrag zur Behandlung des chronischen subduralen Hämatoms und Hygroms des Erwachsenen. Neurochirurgie 24:158–162.

    CAS  Google Scholar 

  • Mullan JF (1982) Techniques of thrombosis of carotid cavernosus fistulae. In: Schmideck HH, Sweet WH (ed) Operative neurosurgical techniques Vol 2, p 813–818, Grune and Stratton, New York.

    Google Scholar 

  • Mullan S (1974) Experiences with surgical thromboses of intracranial berry aneurysms and carotic cavernous fistulas. Neurosurg 41:657–670.

    Article  CAS  Google Scholar 

  • Nau HE, Bork WJ, Brkic J (1977) Klinische und elektroencephalographische Befunde bei Carotis-Sinus-Cavernosus Fisteln. 32 EEG-EMG 8:65–69.

    CAS  Google Scholar 

  • Noordenbos W (1968) Traumatic carotis-cavernous fistula. Psychiatr Neurol Neurochir 71:93–98, Amsterdam.

    PubMed  CAS  Google Scholar 

  • Obrador S, Gomez-Bueno J, Silvela J (1974) Spontaneous carotid-cavernous fistula produced by ruptured aneurysm of the meningohypophyseal branch of the internal carotid artery: case report. J Neurosurg 40:539–543.

    Article  PubMed  CAS  Google Scholar 

  • Ohta T, Nishimura S, Kikuchi H (1973) Closure of carotid-cavernous fistula by polyurethone foam embolus (technical note) J Neurosurg 40:539–543.

    Google Scholar 

  • Panse R (1904) Ein Gliom des Akustikus. Arch Ohrenheilk 61:251.

    Article  Google Scholar 

  • Parkinson D (1965) A surgical approach to the cavernous portion of the carotic artery. J Neurosurg 23:477–483.

    Google Scholar 

  • Parkinson D (1967) Transcavernous repair of carotid cavernous fistula: case report. J Neurosurg 26:420–424.

    Article  PubMed  CAS  Google Scholar 

  • Parkinson D (1982) Surgical management of internal carotid artery aneurysms within the cavernous sinus. In: Schmideck HH, Sweet WH (ed) Operative neurosurgical techniques Vol 2, Grune & Stratton, New York London, p 819–828.

    Google Scholar 

  • Parkinson D, Downs AR, Whytehead LL (1974) Carotid cavernous fistula: direct repair with preservation of carotid. Surgery 76:882–889.

    PubMed  CAS  Google Scholar 

  • Pieritz UR, Schmidseder A (1981) Central dislocation of the Jaw-joint into the middle cranial fossa. Case report. J Max Fac Surg 9:61–63.

    Article  CAS  Google Scholar 

  • Pool JL, Poots DG (1965) Aneurysms and arteriovenous anomalies of the brain: diagnosis and treatment. Harper and Row, New York.

    Google Scholar 

  • Portmann M, Sterkess JM, Charachon R, Chouard CH (1975) The internal auditory meatus. Anatomy, pathology and surgery. Churchill Livingstone, Edinburgh.

    Google Scholar 

  • Prolo DJ, Hanbery JW (1971) Intraluminal occlusion of a carotid cavernous sinus fistula with a balloon catheter: Technical note. J Neurosurg 35:237–242.

    Article  PubMed  CAS  Google Scholar 

  • Quix F (1911) Ein Akustikustumor. Arch Ohrenheilk 84:252.

    Article  Google Scholar 

  • Reulen HJ, Faupel G (1980) Behandlung des traumatischen Hirnödems mit hochdosiertem Dexamethason. In: Wieck HH (ed) Neurotraumatologie. Thieme, Stuttgart, pp 185–192.

    Google Scholar 

  • Rey A, Cophignon J, Thurel C, Thiehaut JB (1975) Treatment of Traumatic Cavernous Fistulae. In: Krayenbühl H (ed) Advances and technical standards in neurosurgery. Springer, New York.

    Google Scholar 

  • Rougerie J, Guilmet D, Bamberger-Bopo C (1973) Aneurysme carotid-caverneux. A propos d’une orientation therapeutique nouvelle. Neurochirurgie 19:649–654.

    PubMed  CAS  Google Scholar 

  • Rupp N, Piger A, Ultsch B (1975) Karotis-Cavernosus-Fistel: Behandlung mit einem Ballon-Katheter. Fortschr Geb Röntgenstr Nuklearmed 122:215–217.

    Article  CAS  Google Scholar 

  • Samii M (1972) Autologe Nerventransplantation im Trigeminusbereich. Med Mittlg (Melsungen) 46:189.

    Google Scholar 

  • Samii M, Brihaye J (1983) Traumatology of the Skullbase. Springer, Berlin Heidelberg New York Tokio.

    Google Scholar 

  • Sedzimir CB, Occleshaw J (1967) Experience with 2 cases of muscle embolisation of carotid-cavernous fistula. J Neurol Neurosurg Psychiatr 30:586.

    Article  PubMed  CAS  Google Scholar 

  • Serbinenko FA (1971) Balloon occlusion of cavernous portion of the carotid artery as a method of treating carotid-cavernous fistulae. In: Vopr Neirokhir 6:3–9.

    Google Scholar 

  • Serbinenko FA (1972) Reconstruction of cavernous part of carotid artery in case of carotid-cavernous fistulae. In: Vopr Neirokhir 36:3–9.

    PubMed  CAS  Google Scholar 

  • Serbinenko FA (1974) Balloon catheterization on occlusion of major cerebral vessels. In: J Neurosurg 41:125–145.

    Article  PubMed  CAS  Google Scholar 

  • Stern WE, Brown WD, Alksne JF (1967) The surgical challenge of carotid cavernous fistula: the critical role of intracranial circulatory dynamics. J Neurosurg 27:298–308.

    Article  PubMed  CAS  Google Scholar 

  • Unterberger S (1959) Neuzeitliche Behandlung von Schädelverletzungen mit Beteiligung der fronto-und laterobasalen pneumatischen Räume. Laryng Rhinol 38:441.

    CAS  Google Scholar 

  • Wigand ME (1979) Transtemporal extradural surgery of the internal auditory canal. In: Samii M, Draf W (Org) Course on surgery of the Skullbase, Hannover.

    Google Scholar 

  • Wullstein HL (1951) Die extratympanale endocranielle Fensterung bei chirurgischer Otitis media and Labyr. Z Laryng Rhinol 30:203–216.

    CAS  Google Scholar 

  • Wullstein HL (1972) Hat Terminologie zur Definition unseres Faches eine praktische Bedeutung? HNO (Berl) 20:259–261.

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Medizinische Hochschule Hannover, Krankenhaus Nordstadt der, Landeshauptstadt Hannover, Haltenhoffstraße 41, D-3000, Hannover 1, Germany

    Professor Dr. med. Prof. h.c. Madjid Samii (Direktor der Neurochirurgischen Klinik)

  2. Städtische Kliniken Fulda, Pacelliallee 4, D-6400, Fulda, Germany

    Professor Dr. med. Wolfgang Draf (Chefarzt der Klinik für HNO-Krankheiten und Plastische Gesichtschirurgie)

  3. Vorstand des Anatomischen Instituts der Universität, Koellikerstraße 6, D-8700, Würzburg, Germany

    Professor Dr. med. Johannes Lang

Authors
  1. Professor Dr. med. Prof. h.c. Madjid Samii
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Professor Dr. med. Wolfgang Draf
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Professor Dr. med. Johannes Lang
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 1989 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Samii, M., Draf, W., Lang, J. (1989). Surgery of Traumatic Lesions of the Middle Skull Base. In: Surgery of the Skull Base. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-73061-0_31

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-73061-0_31

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-73063-4

  • Online ISBN: 978-3-642-73061-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation