Otological manifestations in head injury and their management - a case report

Kiran, Kaundinya; Kumar, A. Ravi; Senthil, K.

doi:10.1007/bf02968755

Cited by 4 publications

(2 citation statements)

References 3 publications

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“…These Journal of Brain and Spine surgery, Volume 2, Issue 2, Dec 2021 fractures are usually associated with cerebrospinal fluid (CSF) leaks mostly rhinorrheas and ottorheas and can be very difficult to manage with many unpleasant consequences like meningitis, cerebral abscess, hearing loss, persistent vertigo, facial nerve paralysis due to entrapment etc. [2][3][4] Fractures involving the midfacial skeleton may occur with epistaxis and patients at risk of brain injury with or without fractures involving the calvarium. Hemorrhage in the ear canal or behind the tympanic membrane may indicate occult brain injuries, which may be difficult to predict initially.…”

Section: Introductionmentioning

confidence: 99%

Otorhinolaryngological manifestations in Traumatic brain injury in a tertiary care center of western Nepal

Rai

Yogi

Karmacharya

et al. 2021

J. Brain Spine Fdn Nep.

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Introduction: Otorhinolaryngological injuries in head injury are something which are very common but yet are overlooked, missed and at times forgotten. In this study, we tried to see the epidemiological characteristics, clinical presentations and management of these associated injuries in cases of head injuries in a tertiary care center in western Nepal. Methods: An analytical study was done in all cases of head injury admitted to neurosurgical ward and ICU in between January 2019 to December 2019. Various clinical and epidemiological details were collected from the patient’s records obtained from Medical Records Department and charted in a preformed performa. All the continuous data were presented in terms of mean and standard deviation and categorical data in terms of percentage. Statistical analysis was done using SPSS 22.0 software. Results: Soft Tissue lacerations were the commonest findings in all head injuries; nose and face lacerations (29.5%), ear lacerations (23.5%) followed by facial bone fractures (19.2%). There were 41(52.6%) cases with mild head injury, 23 (29.5%) cases with moderate head Injury and 17 (17.9%) cases with severe head injury in patients those had associated ENT findings. There was no any statistically significant difference in outcome or hospital stay in between the head injuries with and without ENT manifestations (p=0.187) and (p=0.219) respectively. Conclusion: Skull base tumors are treated based on findings of diagnostic nasal endoscopy and imaging results. CT scans and MRIs are becoming more significant in the diagnosis of diseases. Endoscopic techniques to the skull base were beneficial in treating the malignancy. Chemotherapy can be used as a gold standard first-line treatment with radiation and surgery for significant types of head and neck tumors. immunotherapy-like checkpoint inhibitors targeting PD1 are the second-line treatments of advanced HNSCC. Prospective research and trials will be required in the future.

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Section: Introductionmentioning

confidence: 99%

Otorhinolaryngological manifestations in Traumatic brain injury in a tertiary care center of western Nepal

Rai

Yogi

Karmacharya

et al. 2021

J. Brain Spine Fdn Nep.

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“…Other injury characteristics have been associated with TTMR including different types of skull bone fractures 14,15. For instance, the association between TTMR and fracture of the temporal bone has been investigated in prior studies 16–18. The association with other skull fractures is unknown and currently no literature exists evaluating a large cohort of trauma patients in order to characterize which external injury causes or skull fractures are most associated with TTMR.…”

mentioning

confidence: 99%

Incidence and Epidemiology of Traumatic Tympanic Membrane Rupture: A National Trauma Data Bank Analysis

Habarth-Morales

Rios-Diaz

Isch

et al. 2022

Journal of Craniofacial Surgery

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The incidence of traumatic tympanic membrane rupture (TTMR) has increased over recent decades. The association of certain external injury causes and bone fracture patterns with TTMR is anecdotal. It has been suggested that a diagnosis of TTMR may be missed during the acute trauma admission. The authors sought to evaluate the incidence of TTMR according to external injury cause and evaluate the association of skull fracture patterns with TTMR using a national trauma database. A cross-sectional analysis of trauma encounters was conducted using the National Trauma Data Bank (NTDB) from 2008 to 2015. Demographic and injury data were abstracted. Poisson regression was used to determine the incidence rate ratios of tympanic membrane rupture by external injury cause and logistic regression was used to estimate odds ratios (OR) of TTMR by skull fracture type. A total of 8214 patients were identified with TTMR during acute admission. The majority were on average 30 years old, 76% male, 71% White, had a mean Injury Severity Score of 14, and 42% were admitted to level I centers. The incidence rate ratio was only higher in lightning related injuries [5.262; 95% confidence interval (CI): 4.194–6.602] when using those caused by explosives as a reference. Basilar skull (OR: 12.95; 95% CI: 12.095–12.866) and cranial vault (OR: 2.938; 95% CI: 2.647–3.260) fractures were most associated with TTMR. The high incidence TTMR in association with certain external causes of injury and types of skull fractures should drive screening in the acute setting in order to increase detection and reduce morbidity from missed injuries.

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Otological Manifestations in Head Injury: Experience from a Tertiary Academic Centre

Sakthignanavel

Poduval

Kurien

2021

Indian J Otolaryngol Head Neck Surg

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Otological manifestations in head injury and their management - a case report

Cited by 4 publications

References 3 publications

Otorhinolaryngological manifestations in Traumatic brain injury in a tertiary care center of western Nepal

Otorhinolaryngological manifestations in Traumatic brain injury in a tertiary care center of western Nepal

Incidence and Epidemiology of Traumatic Tympanic Membrane Rupture: A National Trauma Data Bank Analysis

Otological Manifestations in Head Injury: Experience from a Tertiary Academic Centre

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