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Abstract
The rapid increase in the population and Road traffic accidents led to rise in the number of head injury cases. Most of the cases reporting to the tertiary care hospitals present with injuries to ear, nose and throat. these injuries need to be addressed by ENT surgeons in addition general surgeons and neuro surgeons. A prospective study was done by us at tertiary care centre to assess the ear, nose and throat manifestations in head injury cases. The study was carried over a period of ten years and 100 patients were included. Number of male patients were more than females and young age group was affected more.This study highlights the necessity of the ENT surgeon’s inclusion in the trauma team and the present study has been done to evaluate various ear, nose and throat manifestations and investigations which help in earlier diagnosis.
Highlights
The incidence of head injury is increasing day by day
The routine CT brain with HRCT temporal bone was done for patients with ear bleeding, facial palsy, CSF otorrhoea
32 patients had injury to nose presenting with fracture nasal bones (15), lacerations (10), Le Fort fractures (2), septal injuries (3), CSF rhinorrhoea (2)
Summary
The incidence of head injury is increasing day by day. Motor vehicle accidents constitute the single largest cause of head injury. Other causes of head injury are assaults and industrial accidents. The commonest ENT manifestations following head injury are: injury to auricle, external auditory canal, temporal bone fractures, traumatic perforation of tympanic membrane, CSF otorrhoea, hearing loss, fracture of nasal bones and facial bones, cut throat injuries, laryngeal injuries.[1] Otorhino-laryngological problems associated with Road Traffic Accidents are grave and life threatening. All the important structures are located in the head and neck. These serve as window to the brain. Due to advent of newer technologies of investigations and treatment like high resolution CT scan, MRI, newer endoscopic surgeries the management of head and neck injuries is significantly changed in past two decades.
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