The diagnosis of fractures of the anterior cranial fossa in craniofacial trauma

: The authors examined 436 patients with acute trauma of the upper and middle zones of the visceral cranium. Injury to the anterior cranial fossa was discovered in fractures of the orbitonasal complex, isolated fractures of the upper zone, fractures of the Le Fort II and Le Fort III types, and multiple fractures of the upper and middle zones of the face. Such fractures were found in 158 cases, in 76 of them (48.1%) damage to the anterior cranial fossa was recognized. A relationship was found between the frequency of fractures of the anterior cranial fossa and the type of injury to the bones of the face. The features of injury to the separate structures of the anterior cranial fossa are specified. The modified program of panoramic sonography by means of a Zonark apparatus makes it possible to examine the anterior cranial fossa of a patient in a supine position with a small number of exposures, which makes the examination much easier for the patient.