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Medical Forum / General / General / February 2004

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Inner Cranial Bones Laxity .... is it possible ?

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fergal - 09 Feb 2004 22:42 GMT
Is it possibly to have a laxity of the inner cranial bones such as the
sphenoid ?

Somehow I get the impression the person would be dead if it happened
but I talked to somehow recently who suggested otherwise.

ferg
Mxsmanic - 09 Feb 2004 23:11 GMT
> Is it possibly to have a laxity of the inner cranial bones such as the
> sphenoid ?

Laxity in what sense?  The sphenoid starts out as cartilage; it doesn't
have to be concrete.

> Somehow I get the impression the person would be dead if it happened
> but I talked to somehow recently who suggested otherwise.

If things were that delicate, nobody would survive brain surgery,
because the portion of the skull removed to access the brain is loose
immediately after surgery, until it heals into place again.  And in
babies the bones aren't even fused into a solid skull yet, but babies
survive just the same.

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fergal - 11 Feb 2004 22:28 GMT
> > Is it possibly to have a laxity of the inner cranial bones such as the
> > sphenoid ?
>
> Laxity in what sense?  The sphenoid starts out as cartilage; it doesn't
> have to be concrete.

yes, but I don't mean the bones itself but the tissue the bones are attached to
i.e. the ligament attachments from the sphenoid that help support the dura

> > Somehow I get the impression the person would be dead if it happened
> > but I talked to somehow recently who suggested otherwise.
[quoted text clipped - 4 lines]
> babies the bones aren't even fused into a solid skull yet, but babies
> survive just the same.

that would depend on which portion of the skull it was, wouldn't it ?

thanks for repyling

ferg
Mxsmanic - 12 Feb 2004 08:03 GMT
> yes, but I don't mean the bones itself but the tissue the bones are attached to
> i.e. the ligament attachments from the sphenoid that help support the dura

What's the exact defect or injury we are talking about here?  A
free-floating sphenoid bone?

Anyway, in the absence of mechanical stress (blows or other rapid
accelerations), it may not matter, just as fractures in some other bones
and parts of the body may not even be obvious unless mechanical stress
is applied, because their natural tendency is to remain in the correct
position, anyway.

> that would depend on which portion of the skull it was, wouldn't it ?

I suppose there are portions of the skull that might tend to come apart
if fractured, although nothing springs to mind.  A bone that is not
firmly attached to its neighboring skeletal structure in the usual way
but is nevertheless maintained in its place by soft tissue and/or
natural forces (no gravity or other stress pushing it out of place)
would not necessarily be the kiss of death.  So cracking the skull in
two halves would be dangerous because mechanical forces would tend to
open the skull, but removing a small square for surgery and then
replacing it isn't necessarily a problem as long as nothing applies
stress directly to the separated section until it heals again.

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fergal - 13 Feb 2004 15:52 GMT
> > yes, but I don't mean the bones itself but the tissue the bones are attached to
> > i.e. the ligament attachments from the sphenoid that help support the dura
>
> What's the exact defect or injury we are talking about here?  A
> free-floating sphenoid bone?

possibly yes but also the ligamentous attachments throughout the cranial vault

> Anyway, in the absence of mechanical stress (blows or other rapid
> accelerations), it may not matter, just as fractures in some other bones
> and parts of the body may not even be obvious unless mechanical stress
> is applied, because their natural tendency is to remain in the correct
> position, anyway.


> > that would depend on which portion of the skull it was, wouldn't it ?
>
[quoted text clipped - 8 lines]
> replacing it isn't necessarily a problem as long as nothing applies
> stress directly to the separated section until it heals again.
 
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