• Benoit Schaller, Shuichi Hosokawa, Michael Büttner, Tateyuki Iizuka, and Hanna Thorén.
• Department of Cranio-Maxillofacial Surgery, Bern University Hospital and University of Bern, Bern, Switzerland.
• J Craniomaxillofac Surg. 2012 Oct 1; 40 (7): e218-21.

ObjectivesTo clarify the occurrence, sites, and types of associated injuries in paediatric patients with fractures of the anterior skull base.Study DesignRetrospective analysis of files of 49 patients aged up to 18 years.ResultsAssociated injuries were observed in 91.8% of the patients. Observed most frequently were fractures of the skull vault (85.7%), brain injury (59.2%), facial fracture (42.9%), lung contusion (18.4%) and fractures of the upper extremities (14.3%). Multiple injuries were observed in 55.1% and polytrauma in 42.9%. The mortality rate was 10.2%.ConclusionsPaediatric patients with fractures of the anterior skull base frequently present with associated injuries, with many having, multiple associated injuries including polytrauma. These patients should be treated in multidisciplinary trauma units.Copyright © 2011 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

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