Otorhinolaryngological manifestations in head trauma: A prospective study of the epidemiology, clinical presentations, management, and outcomes

Adoga, Adeyi A; Ozoilo, KN; Iduh, Andrew A; Mugu, Joyce G

doi:10.4103/ijciis.ijciis_108_16

Cited by 9 publications

(10 citation statements)

References 12 publications

(12 reference statements)

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“…21 Males were predominantly involved according to Adoga and colleagues. 22 We report comparable results since young males are more vulnerable to trauma due to their outdoor activities and occupational exposure. Hardman et al found that TBI was most common in young adults aged 15 -24 years.…”

Section: Discussionsupporting

confidence: 65%

The Frequency of Early Post Traumatic Cerebrospinal Fluid Rhinorrhea in Patients with Head Trauma

Qazi¹,

Rehman²,

Ahmed³

et al. 2022

Pak J Neurol Surg

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Objective: To determine the frequency of early post-traumatic CSF (cerebrospinal fluid) rhinorrhea in patients with head trauma. Materials and Methods: A prospective study was conducted in the Department of Neurosurgery, Jinnah Postgraduate Medical Centre, Karachi from 13th December 2019 to 12th December 2020. This study comprised 155 patients who had suffered head trauma. All patients were followed for one week. If patients developed clear, watery discharge from the nose, this was documented as being CSF rhinorrhea. The frequency was then further divided into immediate and early. Results: The ages of the patients were 34.28 ± 14.20 years on average. The prevalence of CSF rhinorrhea was observed in 3.2% (5/155) patients. In all the patients, the CSF leak presented within the first 48 hours i.e. it was immediate. Conclusion: Although rare, this post-traumatic complication continues to be a challenge in terms of morbidity and subsequent mortality. Key Words: Cerebrospinal fluid, Rhinorrhea, Head Trauma.

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Section: Discussionsupporting

confidence: 65%

The Frequency of Early Post Traumatic Cerebrospinal Fluid Rhinorrhea in Patients with Head Trauma

Qazi¹,

Rehman²,

Ahmed³

et al. 2022

Pak J Neurol Surg

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“…10 Adoga et al, in a study found that common otorhinolaryngological presentations of CSF leaks were rhinorrhea followed by otorrhea. 15 Contrary to this, Yellinek and his colleagues in their study reported that otorrhea is more frequent then rhinorrhea in cases of CSF leak secondary to traumatic brain injury. 19 In our study, 22 patients had CSF leaks out of total 422 patients i.e.…”

Section: Discussionmentioning

confidence: 87%

“…14 CSF traumatic leaks occur commonly in young males and complicate 2% of all head injuries, and 12% to 30% of all basilar skull fractures. 11 Adoga and colleagues 15 , in their study on otorhinolaryngological manifestations in head trauma found that majority of patients with head injury were male patients and the most affected population was below 40 years. 15 We report comparable results, as in our study also, most of the patients with head trauma (79.6%) and CSF leak (82%; 18/22) were male.…”

Section: Discussionmentioning

confidence: 99%

Cerebrospinal Fluid Leak - Prevalence in Traumatic Head Injury at a Tertiary Care Center

Junaid

Nabi

Khan

et al. 2019

JIMDC

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Background: Cerebrospinal fluid circulates around the surface of brain and spinal cord and through the brain’s ventricles. CSF leak is a condition that occurs when the CSF leaks through a defect in the dura or skull and out through the ear or nose. The most common causes of CSF leak include head injury, brain and sinus surgery. The objective of this study was to determine the frequencies of post-traumatic cerebrospinal fluid leak in traumatic head injury. Material and Methods: A descriptive case series was carried out in the Department of Neurosurgery, Hayatabad Medical Complex, Peshawar for a period of 1 year, from 1st February 2016 to 31st January 2017. A total of 422 patients presenting within 48 hours of acute trauma to the head were included in a consecutive manner and followed up till 7th day to determine the CSF leak. Results: The mean age group of our sample was 37.37 + 12.3 years of which 79.6% were male patients and 20.4% female patients. Most of the patients (55.5%) were ≤ 40 years of age. CSF leak was observed in 5.2% of patients, with otorrhea seen in 2.1% patients and rhinorrhea in 3.1% patients, respectively. Conclusion: CSF leak is quite common in our population after acute trauma to the head. The high prevalence may be due to high frequency of accidents in our society with high velocity impact and more commonly seen in the younger age group (≤ 40 years).

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“…The preponderance of males and young people in head and neck and orofacial trauma is well documented and attributed to traditional behavioral and occupational patterns of these groups that predispose them to injury. 12 , 13 , 19 , 21 - 23 …”

Section: Discussionmentioning

confidence: 99%

Patterns of Head and Neck Injuries in Urban India: A Multicenter Study

et al. 2022

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Objective The pattern of head and neck injuries has been well studied in high-income countries, but the data are limited in low- and middle-income countries, which are disproportionately affected by trauma. We examined a prospective multicenter database to describe patterns and outcomes of head and neck injuries in urban India. Study Design Retrospective review of trauma registry. Setting Four tertiary public hospitals in Mumbai, Delhi, Kolkata. Methods We identified patients with isolated head and neck injuries using International Classification of Diseases, 10th Revision ( ICD-10) codes and excluded those with traumatic brain and/or ophthalmic injuries and injuries in other body regions. Results Our cohort included 171 patients. Most were males (80.7%) and adults aged 18 to 55 years (60.2%). Falls (36.8%) and road traffic accidents (36.3%) were the 2 predominant mechanisms of injury. Overall, 35.7% required intensive care unit (ICU) admission, and 11.7% died. More than 20% of patients were diagnosed with “unspecified injury of neck.” Those with the diagnosis had a higher ICU admission rate (51.4% vs 31.3%, P = .025) and mortality rate (27.0% vs 7.5%, P = .001) than those without the diagnosis. Conclusion Isolated head and neck injuries are not highly prevalent among Indian trauma patients admitted to urban tertiary hospitals but are associated with high mortality. Over a fifth of patients were diagnosed with “unspecified injury of neck,” which is associated with more severe clinical outcomes. Exactly what this diagnosis entails and encompasses remains unclear.

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Otorhinolaryngological manifestations in head trauma: A prospective study of the epidemiology, clinical presentations, management, and outcomes

Cited by 9 publications

References 12 publications

The Frequency of Early Post Traumatic Cerebrospinal Fluid Rhinorrhea in Patients with Head Trauma

The Frequency of Early Post Traumatic Cerebrospinal Fluid Rhinorrhea in Patients with Head Trauma

Cerebrospinal Fluid Leak - Prevalence in Traumatic Head Injury at a Tertiary Care Center

Patterns of Head and Neck Injuries in Urban India: A Multicenter Study

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