Acute Care pp 326-330 | Cite as

Prophylaxis and Therapy of Infection with Open Head Injuries, Rhinoliquorrhea and Otoliquorrhea

  • H. Eberle
Conference paper
Part of the Anaesthesiology and Intensive Care Medicine/Anaesthesiologie und Intensivmedizin book series (A+I, volume 116)


In conjunction with the frequency of the severe road-accidents there is also an increase of open head injuries. The principle concern is concentrated on the frontal and basal fractures involving the air-sinuses. Fracture-lines irradiating to accessory sinuses or to the mastoid process can lead to the port of entry of dangerous intracranial infections. Cerebrospinal fluid rhinorrhea and otorrhea or entry of air into the head which can be seen as pneumatocele in the radiografy are always to be regarded as severe complications. An investigation in our Clinic showed that among 4220 severe head injuries 46 were detected as rhinorrheas, i.e. 1.1%. Particularly related to the 114 fronto-basal skull fractures, we found a nasal liquorrhea in about 40%.


Spinal Fluid Minimal Inhibitory Concentration Aplastic Anemia Severe Head Injury Anterior Cranial Fossa 
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Copyright information

© Springer-Verlag Berlin Heidelberg 1979

Authors and Affiliations

  • H. Eberle

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