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Fracture of the Cribriform Plate

Cribiform Plate Fracture


Presentation

  • Explores anatomy, anatomic localization, differential diagnosis, and diagnosis of presenting symptoms. Reviews the pathophysiology, clinical presentation, diagnosis, and management of specific conditions.[books.google.com]
  • Post traumatic intracerebral pneumatocele presenting as CSF rhinorrhoea - A case report. Indian J Radiol Imaging[ijri.org]
Sepsis
  • Significant updating of following topics - acute coronary syndrome management, trauma, sepsis management, imaging, arrhythmias. Expansion of administration section - especially patient safety. Changes to drug overdose sections in toxicology section.[books.google.com]
  • […] have not been possible intraoperatively with the orotracheal intubation technique.Nasal intubation was avoidid to prevent tube going into the cranium because of fracture of naso-ethmoid complex and further to prevent complications such as meningitis,sepsis[apicareonline.com]
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]
Anosmia
  • As part of our anosmia project, we will develop educational material on anosmia and other smell disorders to distribute to physicians.[monell.org]
  • Frontal lobe tumors may compress the olfactory bulb and/or tracts and cause anosmia rarely.[en.wikiversity.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]
  • Post-traumatic anosmia. Brain 1964;87:107-120. Moran DT, Jafek BW, Rowley JC3d, Eller PM. Electron microscopy of olfactory epithelia in two patients with anosmia. Arch Otolaryngol 1985;111:122-126. Levin HS, High WM, Eisenberg HM.[internationalbrain.org]
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]
Periodontitis
  • See myelinated nerve fibres. cribriform plate (krib rəform ), n 1. the aveolar bone that forms the tooth socket and to which the periodontal ligament is attached (radiographically presents as the lamina dura). 2. the horizontal plate of the ethmoid bone[medical-dictionary.thefreedictionary.com]
Small Eyes
  • Small eye movements during the 3.0 second data acquisition were also adjusted by means of the image processing software (Amira).[journals.plos.org]
Blister
  • The skin turns red but does not blister or actually burn through. The burn site is painful. A sunburn is a good example of a superficial burn. • Partial-thickness (second-degree) burns involve the epidermis and some portion of the dermis.[books.google.com]
Flushing
  • Because of its initial involvement and trophozoite presence in early phases of Naegleria fowleri infection, flushing of this region with saline using a device, to obtain Naegleria fowleri for diagnostic PCR and microscopic viewing has been proposed for[en.wikipedia.org]
Burning Sensation
  • I have a burning sensation in the base of my left nostril and a feeling of excessive dryness.[nysinuscenter.com]
Stroke
  • […] superior oblique by CN IV Position [ edit ] eyelid (penlight in front of patient), move in an H pattern eye position in primary gaze Eye Movement [ edit ] nystagmus CN V (Trigeminal) [ edit ] Sensation [ edit ] all three divisions of CN V bilaterally stroke[en.wikiversity.org]

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]
  • 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]
  • Delay reduction and some other treatments for 3 to 5 days to allow edema to resolve. Click here for Patient Education NOTE: This is the Professional Version.[merckmanuals.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]
  • 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]
  • 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]
  • Larger skull base defects ( 1.5 cm) or severely comminuted fractures, particularly if a meningoencephalocele is present, are associated with a worse prognosis for spontaneous resolution, and will require surgical repair.[radiologykey.com]

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]
  • 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]
  • Craniofacial traumas, including mild ones, represent one of the major etiologic causes of olfactory deficits.[nabis.org]
  • 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]
  • 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]

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]
  • 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

  • Reviews the pathophysiology, clinical presentation, diagnosis, and management of specific conditions. Provides access to frequently needed anatomic and tabular reference information.[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]

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]
  • Septal hematomas must be immediately incised and drained to prevent infection and cartilage necrosis. Reduction is needed only for fractures causing clinically visible deformity or nasal airway obstruction.[merckmanuals.com]

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