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Fracture of the Cribriform Plate

Cribiform Plate Fracture


Presentation

  • A comprehensive textbook of adult emergency medicine for trainee doctors - covers all the problems likely to present to a trainee in the emergency department.[books.google.com]
  • Complieated fractures of the vault and fractures of the base of the skull are at present the most important source of intraeranial infection, and are likely to increase in importance due to ever increasing frequeney of motor accidents.[books.google.com]
  • See clinical problems as they present in practice with 3,200 images - many new to this edition. Consult the complete contents of this encyclopedic reference online, with video clips of key index cases![books.google.com]
  • Post traumatic intracerebral pneumatocele presenting as CSF rhinorrhoea - A case report. Indian J Radiol Imaging[ijri.org]
  • Natal Teeth Predeciduous teeth present at birth. They may be well formed and normal or may represent hornified epithelial structures without roots.[bioportfolio.com]
Anosmia
  • As part of our anosmia project, we will develop educational material on anosmia and other smell disorders to distribute to physicians.[monell.org]
  • Complete agenesis of the olfactory tract results in congenital anosmia .[medlink.com]
  • Is anosmia typical for sinus perforation? I have a burning sensation in the base of my left nostril and a feeling of excessive dryness.[nysinuscenter.com]
  • When undergoing the olfactory test, however, 82.5% showed anosmia, suggesting axon damage at the level of the lamina cribrosa.[nabis.org]
  • What is the most common cause of unilateral anosmia? Answer 3-2. Most common cause of unilateral anosmia is blockage of nasal passage. 3-3. In whom is it particularly important to test olfaction? Answer 3-3.[dartmouth.edu]
Hyposmia
  • Vitamin A deficiency is associated with hyposmia and dysosmia (odors are unpleasant), possibly the result of nasal mucosal abnormalities. c. Zinc deficiency has been associated with hyposmia and dysosmia. d. Diabetes mellitus.[dartmouth.edu]
  • Imaging did not show any lesions of brain olfactory structures in these patients, but 82.5% of them had anosmia and 12.5% had hyposmia.[nabis.org]
  • As the names suggests, post-traumatic olfactory loss describes anosmia or hyposmia which results from a head injury.[fifthsense.org.uk]
  • HYPOSMIA OR ANOSMIA Hyposmia or anosmia is due to olfactory nerve damage from fracture of the cribriform plate.[webmedcentral.com]
  • Disturbances experienced by patients may be complete (anosmia, aguesia) or partial (hyposmia, hypoguesia) sensory loss, sensory distortion (dysosmia, dysguesia), or the presence of phantom sensations.[internationalbrain.org]
Gangrene
  • Thoracic surgery has nearly eradieated a for merly fairly frequent source of abseess of the brain, namely infections of the lung, such as lung abscess, bronchiectasia and lung gangrene.[books.google.com]

Treatment

  • Key features include: Emphasis on a disease state management approach to patient assessment and treatment Promotion of a holistic, biopsychosocial model of patient assessment and care Review of current expert consensus on practice guidelines Exploration[books.google.com]
  • Also has boxes featuring controversial areas of treatment. Practical and clinically orientated. Major changes to resuscitation guidelines. Complete rewriting of ENT section.[books.google.com]
  • Therefore, a primary goal in the treatment of these fractures is the restoration of the occlusal relationship. Principles of treatment are similar to those in the treatment of mandible fractures.[implantandfacialsurgery.com]
  • They will often ask an ear nose and throat surgeon to check your nose seven to 10 days after the injury to see if the bones and cartilage need more treatment.[entuk.org]
  • What will be immediate treatment? A Frequent blowing of nose B Plugging of nose with paraffin C Craniotomy D Antibiotics with wait for 7 days.[gradestack.com]

Prognosis

  • Written by over 100 acknowledged leaders in the field, and containing hundreds of tables, graphs, and photographic images, the text deals with issues of neuroimaging and neurodiagnostic testing, prognosis and outcome, acute care, rehabilitative care,[books.google.com]
  • Whilst the prognosis for post-traumatic patients is admittedly poor, some people may experience some improvement.[fifthsense.org.uk]
  • Multiple causes may coexist, further complicating evaluation, treatment, and determination of prognosis for recovery. Olfactory disturbances may be categorized as conductive or neurosensory.[internationalbrain.org]
  • Phelps CD (1982) Effect of myopia on prognosis in treated primary open-angle glaucoma. Am J Ophthalmol 93:622–628 CrossRef PubMed 4.[springermedizin.de]

Etiology

  • Back Home Nasal Fracture General Information Most frequent facial fracture Etiologies Altercations Accidents Sports-related Falls (children) Fractures classified as open or closed Based on integrity of nasal mucosa Most fractures occur towards tip of[fprmed.com]
  • Craniofacial traumas, including mild ones, represent one of the major etiologic causes of olfactory deficits.[nabis.org]
  • Anterior Skull Base Fractures Classification/Etiology Direct frontal trauma often results in anterior skull base fractures, so-called frontobasal injuries, with the “frontal” component of fractures involving the upper facial third (frontal bone/sinus[radiologykey.com]
  • A retrospective analysis of facial fracture etiologies. Ann Plast Surg . 2008 Apr. 60(4):398-403. [Medline] . Cantrill SV. Facial trauma. Rosen P, ed. Emergency Medicine: Concepts in Clinical Practice . 4th ed. St. Louis, Mo: Mosby-Year Book; 1998.[emedicine.medscape.com]
  • CSF Rhinorrhoea is classified according to the etiology developed by omaya. He divided CSF Rhinorrhoea into traumatic and non-traumatic. subdividing the latter into non –traumatic with normal pressure and non traumatic with high pressure.[webmedcentral.com]

Epidemiology

  • […] features include: Emphasis on a disease state management approach to patient assessment and treatment Promotion of a holistic, biopsychosocial model of patient assessment and care Review of current expert consensus on practice guidelines Exploration of epidemiologic[books.google.com]
  • He has since completed further training in emergency medicine, clinical toxicology, clinical epidemiology and health professional education.[lifeinthefastlane.com]
  • Epidemiology of US high school sports-related fractures, 2005-2009. Clin J Sport Med . 2010 Jul. 20(4):293-9. [Medline] . Hanba C, Svider PF, Chen FS, Carron MA, Folbe AJ, Eloy JA, et al. Race and Sex Differences in Adult Facial Fracture Risk.[emedicine.medscape.com]
  • In this study we have evaluated epidemiologic data in patients affected by olfactory deficits following minor craniofacial traumas.[nabis.org]
Sex distribution
Age distribution

Pathophysiology

  • […] on a disease state management approach to patient assessment and treatment Promotion of a holistic, biopsychosocial model of patient assessment and care Review of current expert consensus on practice guidelines Exploration of epidemiologic and basic pathophysiologic[books.google.com]
  • The underlying pathophysiology of primary open-angle glaucoma remains unclear, but the lamina cribrosa seems to be the primary site of injury and raised intraocular pressure is a major risk factor.[bioportfolio.com]
  • Fracture General Information Most frequent facial fracture Etiologies Altercations Accidents Sports-related Falls (children) Fractures classified as open or closed Based on integrity of nasal mucosa Most fractures occur towards tip of nose Bone is thinner Pathophysiology[fprmed.com]
  • Therefore, the ONH, especially the lamina cribrosa, has come into focus as a key pathophysiologic site in glaucomatous optic neuropathy.[entokey.com]
  • The role of cerebrospinal fluid pressure in glaucoma pathophysiology: the dark side of the optic disc. J Glaucoma 2008; 17:408–413. 10. Crawford DJ, Roberts MD, Sigal IA.[djo.eg.net]

Prevention

  • However attention to details of the technique, careful blunt dissection and a good knowledge of anatomy can help prevent above mentioned complications.[apicareonline.com]
  • It is therefore extremely important to obtain precise realignment of the fractured bone to prevent long-term visual changes.[implantandfacialsurgery.com]
  • A delay in diagnosis can by prevented by a careful initial examination. This patient first was seen in a nonspecialist environment.[pocketdentistry.com]
  • An injection to prevent tetanus is advisable if your vaccination is not up to date (every 10 years). Bony fractures of the nose account for nearly 50% of all facial fractures.[entuk.org]

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