Prospective Study of ‘Otological Injury Secondary to Head Trauma’

Singh, Geetu; Singh, Baldev; Singh, Dharmender

doi:10.1007/s12070-011-0404-6

Cited by 22 publications

(18 citation statements)

References 5 publications

(5 reference statements)

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“…Among patients in group B, 19 complained of tinnitus, 8 of ear fullness, and 6 of hearing disturbance. Singh et al [12] reported hearing disturbance in 21 out of 50 patients, with head injury and tinnitus in 12 patients. The prevalence of hearing disturbance in our study group was lower, presumably because we excluded patients with temporal bone fracture or intracranial lesions, who might have been more likely to have had severe head trauma.…”

Section: Discussionmentioning

confidence: 98%

Clinical Characteristics of Patients with Dizziness after Motor Vehicle Accident

et al. 2017

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Section: Discussionmentioning

confidence: 98%

Clinical Characteristics of Patients with Dizziness after Motor Vehicle Accident

et al. 2017

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“…Singh et al in their study found that out of 9 cases of fracture of the petrous part of the temporal bone, longitudinal fracture was present in 7 (78%) and transverse fracture in 2 (22%) cases. 8 Chamyal in their study of 50 head injury cases, reported 22 cases (44%) of skull fracture, out of which 14 (28%) had fracture temporal bone on further breakdown. 9 Out of these in temporal bone patients 10 (72%) had longitudinal and 4 (28%) had transverse fracture.…”

Section: Discussionmentioning

confidence: 99%

Hearing loss following temporal bone fractures- a study on classification of fractures and the prognosis

Maradi

Somanath

2017

Int J Otorhinolaryngol Head Neck Surg

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Background: Temporal bone fractures are traditionally classified as transverse, longitudinal or mixed fractures depending on their relationship to the petrous pyramid. However recent studies show that classifying temporal bone fractures as otic capsule sparing (OCS) and otic capsule violating (OCV) types has more relevance with the prognosis of hearing loss and other associated complications. To assess the predictive value of two different types of temporal bone fracture classification systems with respect to hearing loss and its type.Methods: This prospective study was done on patients attending a tertiary care hospital in the study period of one year. Temporal bone fracture patients satisfying inclusion and exclusion criteria were clinically and audiologically evaluated. All patients with temporal bone fractures were categorized into two groups - Longitudinal/ Transverse (old) and OCS / OCV (new). Hearing loss was evaluated audiologically on multiple intervals- initially following the injury once the patient is stable, later after a gap of 1 month and 3 months following the injury. Results: During the study period, 45 patients presenting with temporal bone fractures who satisfied the selection criteria were evaluated. The correlation was statistically significant for new classification system (P- 0.000) with respect to severity and prognosis of hearing loss which was not the case with the old system (P- 0.450). Conclusions: We found that classifying temporal bone fractures into OCV and OCS correlates well with the severity of the hearing loss, the prognosis of the patient and the residual hearing disability when compared to the traditional system.

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“…Depressed skull fractures may require surgery to lift the bones off the brain if they are pressing on it by making burr holes on the adjacent normal skull. 1 In a depressed skull fracture, the outer table of one or more of the fracture edges lies below the normal anatomical level of the inner table as determined by the surrounding intact skull. 2,3 At the site of impact mostly the inner table fracture first and get depressed inside.…”

Section: Introductionmentioning

confidence: 99%

Primary reconstruction of depressed skull fracture

2018

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Background: Depressed fracture poses a specific challenge to neurosurgeon. Aim of our study is to analyze benefits of primary reconstruction of depressed skull fracture and to compare various methods of fracture reconstruction with that of titanium miniplates The concept of primary reconstruction was to close the defect and preserve the anatomical barrier, to avoid later crainoplasty and to prevent further complications like CSF leak, pneumocephalus, brain fungus and meningitis etc. The second reason for rigid fixation was to achieve good cosmetic results.Methods: This is observational study carried out in Department of General Surgery, Hamidia hospital Bhopal on 36 patients over period of 18 months from January, 2016 to July, 2017.Results: : Depressed skull fracture is more prevalent in second and third decade of life with male to female ratio of 5:1 . Most of the patients (72%) presented with open fracture skull and majority of them (89%) presented with underlying brain injury. Out of total 36 patients of depressed fracture skull, 18 patients (50%) underwent fixation with titanium miniplate and rest underwent fixation with nylon suture, Poly-L-Lactide and primary elevation of depressed skull fracture. The correction of deformity was more than 90% compared to contralateral side and better cosmetic results were obtained on patients treated with titanium mini-plates. Post operative infection rate was nil in patient treated with titanium mini-plates compared to 8.2% of total infection rates in patients treated with other methods.Conclusions: The concept of primary reconstruction of depressed skull fracture to achieve better cosmetic results and minimum post operative complications. Cosmetic results that were obtained with titanium mini-plates were excellent with nil post operative infection rates and complete neurological recovery. Hence titanium mini-plates are cost effective and better than any other methods.

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Prospective Study of ‘Otological Injury Secondary to Head Trauma’

Cited by 22 publications

References 5 publications

Clinical Characteristics of Patients with Dizziness after Motor Vehicle Accident

Clinical Characteristics of Patients with Dizziness after Motor Vehicle Accident

Hearing loss following temporal bone fractures- a study on classification of fractures and the prognosis

Primary reconstruction of depressed skull fracture

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