Prophylaxis and Therapy of Infection with Open Head Injuries, Rhinoliquorrhea and Otoliquorrhea
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%.
KeywordsDepression Anemia Meningitis Chloramphenicol Trimethoprim
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