Frequency of Cerebrospinal Fluid Otorrhea & Rhinorrhea among Patients with Traumatic Skull Fracture

Authors

  • Ali Shahjehan Department of Neurosurgery, Lady Reading Hospital, Peshawar Pakistan.
  • Ali Haider Department of Neurosurgery, Lady Reading Hospital, Peshawar Pakistan
  • Hashmat Ullah Department of Neurosurgery, Lady Reading Hospital, Peshawar Pakistan.
  • Khalid Khanzada Department of Neurosurgery, Lady Reading Hospital, Peshawar Pakistan.
  • Muhammad Akram Khan Department of Surgery, District Headquarter Hospital Daggar Buner Pakistan.
  • Riaz ur Rehman Department of Neurosurgery, Lady Reading Hospital, Peshawar Pakistan

DOI:

https://doi.org/10.52206/jsmc.2021.11.4.680

Abstract

Background: Traumatic Brain Injury (TBI) is a global health issue. TBI is common and has significant societal impact. This type of
trauma results in overlying fracture of the skull in 85%-95% of cases.
Objective: To find the frequency of cerebrospinal fluid otorrhea & rhinorrhea among patients presenting with traumatic skull
fracture.
Materials and Methods: This observational descriptive cross section was carried out at neurosurgery department, Lady Reading
Hospital Peshawar. Time period of this study was from Jul 12, 2016 to Jan 11, 2017.All patients with age group 18 to 60 years of
both gender who presented within 24 hours after the initial head trauma and who were diagnosed with skull bone fracture on x ray
were included in the study. On the other hand, patients who developed post-operative cerebrospinal fluid leaks and presented with
spontaneous cerebrospinal fluid rhinorrhea or otorrhea or those who developed inflammatory type of Cerebrospinal fluid discharge
were excluded from the study.
Results: Total number of patients were 111 with traumatic skull fracture.Among the total patients 72% were male while 28% were
female. The ratio of male to female was 2.5:1.The mean age was 36.13 years ±13.83SD with range of 18-60 years. 26-40 years
group was common for the traumatic skull fracture in present study. The number of patients with age equal or less than 25 years
was 34(30.6%).Thirty seven (33.3%) patients were of 26-40 years, 19 (17.9%) of 40-55 years and 21(18.9%) were more than 55
years of age. The Rhinorrhea among traumatic skull fracture was observed in 22(19.8%) while 89(80.2%) patients showed no
Rhinorrhea. Otorrhea was found in 30(27%) patients and 1(73%) patients showed no Otorrhea.
Conclusions: From this study, we concluded that Cerebrospinal fluid otorrhea & rhinorrhea was the most common complication
among patients with traumatic skull fractures.
Key words: Cerebrospinal Fluid, Rhinorrhea Skull Fracture, Otorrhea

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How to Cite

1.
Ali Shahjehan, Ali Haider, Hashmat Ullah, Khalid Khanzada, Muhammad Akram Khan, Riaz ur Rehman. Frequency of Cerebrospinal Fluid Otorrhea & Rhinorrhea among Patients with Traumatic Skull Fracture. J Saidu Med Coll Swat [Internet]. 2021 Dec. 2 [cited 2022 Nov. 30];11(4):206-10. Available from: http://jsmc.pk/index.php/jsmc/article/view/680