{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T04:12:42Z","timestamp":1777435962821,"version":"3.51.4"},"reference-count":18,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1974,8]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 Instead of discarding bone as in past practice with depressed skull fractures, fragments were soaked in Betadine, trimmed, reinserted into the skull defect, and covered with flaps of pericranium, muscle, or fascia. Of the 110 patients who had bone replaced, 65 had frontal fractures, which in 33 involved the frontal sinus, cribriform plate, or orbital rim. Fractures involving sinuses were treated by exenterating the sinus and packing it with muscle. The frontal and orbital rim region were reconstructed whenever possible with a mosaic of replaced bone. There were no deaths due to the minimal complications from the procedure. Despite severely macerated, contaminated, and in several instances, infected scalp wounds, most bone fragments have survived, and cranial defects have gradually filled with new bone. The authors believe that immediate bone replacement for depressed frontal fractures with or without orbital, sinus, or cribriform plate involvement is both practical and safe.<\/jats:p>","DOI":"10.3171\/jns.1974.41.2.0200","type":"journal-article","created":{"date-parts":[[2009,5,7]],"date-time":"2009-05-07T15:00:46Z","timestamp":1241708446000},"page":"200-207","source":"Crossref","is-referenced-by-count":50,"title":["Primary reconstruction of depressed frontal skull fractures including those involving the sinus, orbit, and cribriform plate"],"prefix":"10.3171","volume":"41","author":[{"given":"Joseph","family":"Nadell","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David G.","family":"Kline","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"J Neurol Neurosurg Psychiat","doi-asserted-by":"publisher","first-page":"395","DOI":"10.1136\/jnnp.35.3.395","article-title":"Depressed skull fracture: data, treatment and followup in 225 consecutive cases.","volume":"35","author":"Braakman","year":"1972"},{"key":"b2","series-title":"J Neurol Neurosurg Psychiat","doi-asserted-by":"publisher","first-page":"106","DOI":"10.1136\/jnnp.34.1.106","article-title":"Survey and followup of 225 consecutive patients with a depressed skull fracture.","volume":"34","author":"Braakman","year":"1971"},{"key":"b3","series-title":"Surg Gynec Obstet","first-page":"203","article-title":"Primary repair of compound skull fractures in children.","volume":"110","author":"Carrington","year":"1960"},{"key":"b4","series-title":"Ann Surg","first-page":"506","article-title":"Treatment of compound fractures of the skull.","volume":"115","author":"Coleman","year":"1942"},{"key":"b5","series-title":"Laryngoscope","doi-asserted-by":"publisher","first-page":"1833","DOI":"10.1288\/00005537-196811000-00002","article-title":"Operative management of injuries involving the frontal sinus. A study of eighteen operated cases.","volume":"78","author":"Failla","year":"1968"},{"key":"b6","series-title":"Otolaryngolic Clin N Amer","doi-asserted-by":"publisher","first-page":"653","DOI":"10.1016\/S0030-6665(20)32980-7","article-title":"Reconstruction following severe nasofrontal injuries.","volume":"5","author":"Gross","year":"1972"},{"key":"b7","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"150","DOI":"10.3171\/jns.1972.37.2.0150","article-title":"Depressed skull fractures in Australia.","volume":"37","author":"Jamieson","year":"1972"},{"key":"b8","series-title":"Brit J Surg","first-page":"585","article-title":"Fractures of the floor of the anterior cranial fossa. The selection of patients for dural repair.","volume":"59","author":"Jefferson","year":"1972"},{"key":"b9","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"333","DOI":"10.3171\/jns.1972.36.3.0333","article-title":"Infection after depressed fracture of skull: implications for management of non-missile injuries.","volume":"36","author":"Jennett","year":"1972"},{"key":"b10","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"698","DOI":"10.3171\/jns.1969.30.6.0698","article-title":"Primary repair of compound skull fractures by replacement of bone fragments.","volume":"30","author":"Kriss","year":"1969"},{"key":"b11","series-title":"Amer Surg","first-page":"1115","article-title":"The treatment of depressed fractures of the skull with special reference to the repair of the cranial defect.","volume":"23","author":"Lyerly","year":"1957"},{"key":"b12","series-title":"Lancet","first-page":"254","article-title":"Address on the surgery of the brain and spinal cord.","volume":"2","author":"MacEwen","year":"1888"},{"key":"b13","series-title":"Neurological Surgery of Trauma","article-title":"Compound fractures of the convexity of the skull","author":"Meirowsky","year":"1965"},{"key":"b14","series-title":"Lancet","first-page":"991","article-title":"Complications of depressed skull fractures.","volume":"2","author":"Miller","year":"1968"},{"key":"b15","series-title":"Arch Surg","first-page":"648","article-title":"Post traumatic cerebrospinal fluid leaks.","volume":"95","author":"Raaf","year":"1957"},{"key":"b16","series-title":"Acute Injuries of the Head: Their Diagnosis, Treatment, Complications, and Sequels.","author":"Rowbotham","year":"1964"},{"key":"b17","series-title":"Brit J Plast Surg","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1016\/S0007-1226(70)80046-7","article-title":"Skull reconstruction with bone dust.","volume":"23","author":"Shehadi","year":"1970"},{"key":"b18","series-title":"J Bone Joint Surg","first-page":"395","article-title":"Studies of the vascularization of bone grafts.","volume":"39B","author":"Stringa","year":"1957"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/41\/2\/article-p200.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/41\/2\/article-p200.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/41\/2\/article-p200.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,10]],"date-time":"2022-07-10T23:25:03Z","timestamp":1657495503000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/41\/2\/article-p200.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1974,8]]},"references-count":18,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.3171\/jns.1974.41.2.0200","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[1974,8]]}}}