About Depressed Skull Fracture
Key Highlights
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Relieves direct pressure on the brain, preventing further neurological injury.Reduces the risk of life-threatening infections like meningitis or brain abscess.Repairs dural tears to stop cerebrospinal fluid (CSF) leakage.Removes bone fragments and foreign bodies that could cause ongoing damage.Restores the skull's structural integrity and cosmetic appearance.Helps prevent the development of post-traumatic epilepsy./ul
Who is this surgery for?
- Fracture depression greater than the thickness of the skull bone (typically >1 cm).
- Associated neurological deficit (e.g., weakness, speech difficulty) due to brain compression.
- Evidence of dural tear with or without cerebrospinal fluid (CSF) leakage.
- Significant cosmetic deformity requiring correction.
- Open (compound) fracture with contamination risk or visible brain tissue.
- Fracture over a major venous sinus causing compression or risk of hemorrhage.
- Presence of intracranial hematoma (blood clot) beneath the fracture site.
- Persistent, severe headache or signs of elevated intracranial pressure.
How to prepare
- Emergency stabilization: Ensure airway, breathing, and circulation (ABCs) are secure.
- Comprehensive imaging: A CT scan of the head is essential to assess fracture depth, bone fragment location, and any associated brain injury or hematoma.
- Neurological assessment: A detailed exam to establish a baseline of brain function.
- Medication review: Discontinuation of blood thinners (anticoagulants/antiplatelets) if possible.
- Informed consent: Detailed discussion of the procedure, risks, benefits, and alternatives.
- Pre-operative antibiotics: Administered to reduce infection risk, especially for open fractures.
- NPO (Nothing by Mouth): Patient must fast for several hours before surgery.
Risks & possible complications
- Infection: Including meningitis, encephalitis, wound infection, or bone flap infection (osteomyelitis).
- Bleeding: Intracranial hemorrhage or hematoma formation.
- Neurological worsening: New or increased weakness, speech problems, vision changes, or seizures.
- Cerebrospinal Fluid (CSF) Leak: Persistent leakage requiring further treatment.
- Blood clot formation: Deep vein thrombosis (DVT) or pulmonary embolism (PE).
- Cosmetic issues: Skull contour irregularity or visible scarring.
- Allergic reaction to anesthesia or implant materials.
- Need for additional surgery in the future.
Recovery & hospital stay
- Initial monitoring in a Neurosurgical Intensive Care Unit (NICU) for 24-48 hours to watch for bleeding or swelling.
- Pain management with prescribed medications.
- Head elevation to reduce swelling.
- Strict wound care: Keeping the incision site clean and dry; watching for signs of infection (redness, swelling, discharge).
- Activity restrictions: Avoiding strenuous activity, heavy lifting, and contact sports for several weeks to months.
- Gradual return to normal activities as approved by the neurosurgeon.
- Follow-up appointments for suture removal, imaging (CT scan), and neurological assessment.
- Possible referral to physical, occupational, or speech therapy for rehabilitation if deficits are present.
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Typical hospital stay: 5-10 days
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Expected recovery time: 6-12 weeks
Frequently Asked Questions
If you are considering depressed skull fracture in India, these questions and answers can help you make a confident, informed decision.
Popular choices for depressed skull fracture in India include Miot Hospital Chennai, Cytecare Hospital, Kamineni Hospital LB Nagar, Kamineni Hospital, King Koti, Manipal Hospital Old Airport Road, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform depressed skull fracture. MediFyr helps you compare neurosurgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for depressed skull fracture compare across other countries where we have data.
Top hospitals for Depressed Skull Fracture in India
These partner hospitals in India have dedicated neurosurgery teams and experience managing patients undergoing depressed skull fracture.
Aarav Williams, a 19-year-old college baseball...
Aarav Williams, a 19-year-old college baseball pitcher, was hit in the left temple by a line drive during practice. He was not wearing a batting helmet while pitching. He collapsed immediately. Rushed to the trauma center, a CT scan showed a depressed skull fracture in the thin temporal bone, with bone fragments perilously close to the middle meningeal artery. The neurosurgery team, led by Dr. Chen, explained the urgent need for surgery to prevent an epidural hematoma, a deadly complication. The procedure was also necessary to reduce the risk of future epilepsy from cortical irritation. Aarav and his family were in shock; his promising athletic future seemed shattered in an instant. The surgery involved a temporal craniotomy, careful elevation of the bone, and inspection of the dura. Recovery was physically and emotionally grueling. He was sidelined from sports for a full year, battling headaches and anxiety. However, with neurocognitive therapy and gradual conditioning, he was eventually cleared to play. His emotional journey evolved from despair and identity crisis to a hard-won resilience. He returned to the mound the following season with a renewed perspective and a mandatory helmet for all pitchers during practice.
Neurosurgeons for Depressed Skull Fracture
Explore experienced neurosurgeons who regularly perform depressed skull fracture and provide pre- and post-operative care in India.
- 18 Years Experience
- Neurosurgeon
Miot Hospital Chennai, Chennai
- 22 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 13 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 10 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 9 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 9 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 11 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 9 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 21 Years Experience
- Neurosurgeon
Manipal Hospital Whitefield, Bangalore
- 29 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 21 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 19 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 20 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 17 Years Experience
- Neurosurgeon
Manipal Hospital Patiala, Patiala
- 13 Years Experience
- Neurosurgeon
Manipal Hospital Patiala, Patiala
- 17 Years Experience
- Neurosurgeon
Manipal Hospital Mysore, Mysore
- 15 Years Experience
- Neurosurgeon
Manipal Hospital Vijayawada, vijayawada
- 14 Years Experience
- Neurosurgeon
Manipal Hospital Vijayawada, vijayawada