Non-surgery Treatment—Open Skull Base Fracture—Follow Up 22yy. (1992–2014)

Concurrently, with timing surgery study of open skull base fracture, we have constituted group nonsurgery treatment open skull base fracture. The criteria of our characteristics of choices to this group: 4, only intradural pneumocephalus; 5, intradural pneumocephalus and liquorrhea, which stop during 24 to 48 hours; 6, only liquorrhea, which stop during 24 to 48 hours. Our study group have together 116 cases, which come into being first 5 years (26, 21, 32, 11, 16). We have follow-up of the group 20 years. We were all eyes on complications, which developing during 15 to 20 years under different diagnosis: meningitis, meningoencephalitis, abscessus cerebri, liquorrhea, pneumocephalus, Pott tumor, mucocele, meningoencephalocele, “polyps of paranasal sinuses,” “polyps of middle ear,” and “cholesteatoma of middle ear.” We have four groups in time: 5, meningitis, meningoencephalitis, abscessus cerebri, liquorrhea, pneumocephalus; 6, meningitis, meningoencephalitis, abscessus cerebri, liquorrhea, pneumocephalus, Pott tumor; 7, meningitis, meningoencephalitis, abscessus cerebri, liquorrhea, pneumocephalus, Pott tumor, mucocele; 8, meningitis, meningoencephalitis, abscessus cerebri, liquorrhea (more time so-called spontaneous), pneumocephalus, Pott tumor, mucocele, meningocele, meningoencephalocele, “polyps of paranasal sinuses,” “polyps of middle ear,” “cholesteatoma of middle ear.” The first group has maximum between half and 1 year after trauma after diagnosis (15.5%), the second group between.