For citation: Krivopalov A.A., Tuzikov N.A., Leiko D.V., Shсherbuk A.Yu., Shсherbuk Yu.A., Shamkina P.A., Markova A.M. Traumatic brain injury as a predictor of orl-associated intracranial pyoinflammatory complications. Golova i sheya. Rossijskij zhurnal Head and neck Russian Journal. 2019;7(3):36–40 (in Russian).
Doi: 10.25792/HN.2019.7.3.36–40
Traumatic brain injury in some cases is a factor contributed to the destruction of the anatomical barrier between the ORL (oto-rhino-laryngeal) organs and intracranial space. To date, the relationship between traumatic brain injury, accompanied by damage to the ORL organs and inflammatory diseases of the brain, has been poorly studied. The purpose of this study was to assess the effect of traumatic brain injury on the incidence of pyo-inflammatory diseases of the brain in patients with ORL infections.
Materials and methods. A retrospective analysis of cases of adult patients with otogenic and sinusogenic pyoinflammatory brain diseases who received treatment from 1997 to 2017 was carried out.
Results. Most often, ORL-associated pyo-inflammatory intracranial complications had an otogenic etiology accounting for 58.1% of cases among all patients and 6.8% among patients with a traumatic brain injury anamnesis. The second most frequent complication had sinusogenic etiology (33.4% and 3.2% of cases, respectively), followed by the combined etiology (8.4 and 1.3% respectively). Systemic complications (sepsis, severe sepsis, septic shock) were detected in 32 of 35 patients with neurotrauma, which accounts for 91.4% of cases.
Conclusions. Patients with traumatic brain injury are at risk for ORL-associated intracranial complications and are subject to more careful medical supervision. A multidisciplinary approach involving otorhinolaryngology, neurology, neurosurgery, neuroimaging specialists will contribute to the correct assessment of the patient’s condition severity, diagnosis and the optimal treatment providing.
Key words: otorhinolaryngology, neurosurgery, intracranial complications of ORL organs, traumatic brain injury, neurotrauma
The authors declare no conflict of interest. Source of financing: not specified.
For citation: Krivopalov A.A., Tuzikov N.A., Leiko D.V., Shсherbuk A.Yu., Shсherbuk Yu.A., Shamkina P.A., Markova A.M. Traumatic brain injury as a predictor of orl-associated intracranial pyoinflammatory complications. Golova i sheya. Rossijskij zhurnal Head and neck Russian Journal. 2019;7(3):36–40 (in Russian).
The authors are responsible for the originality of the data presented and the possibility of pub-lishing illustrative material – tables, figures, photographs of patients.
摘要
在某些情况下，颅脑外伤是导致ORL（耳鼻喉）器官与颅内间隙之间的解剖屏障破坏的因素。 迄今为止，对创伤 性脑损伤，伴随的ORL器官损伤和脑部炎症性疾病之间的关系的研究很少。 这项研究的目的是评估外伤性脑损伤 对ORL感染患者脑脓性炎症的发生率的影响。
资料和方法
回顾性分析1997年至2017年接受治疗的成年性耳源性和鼻窦性脓性炎症性脑病患者的病例。
结果
最常见的是，ORL相关的脓性炎症性颅内并发症多数为耳源性病因，占所有患者中58.1％，在颅脑外伤性记忆缺 失患者中占6.8％。 第二个最常见的并发症是鼻窦病因（分别为33.4％和3.2％），其次是合并病因（分别为8.4 和1.3％）。35例神经外伤患者中有32例发现系统性并发症（败血症，严重脓毒症，败血症性休克），占病例的 91.4％。
结论
脑外伤患者有发生ORL相关颅内并发症的风险，并应接受更仔细的医学检查。 涉及耳鼻喉科，神经科，神经外 科，神经影像学专家的多学科方法将有助于正确评估患者的病情严重程度，诊断和提供最佳治疗。
关键词
耳鼻喉科，神经外科，ORL器官的颅内并发症，脑外伤，神经创伤
作者声明没有利益相关
经费来源：未说明
引用：Krivopalov A.A., Tuzikov N.A., Leiko D.V., Shсherbuk A.Yu., Shсherbuk Yu.A., Shamkina P.A., Markova A.M. Traumatic brain injury as a predictor of orl-associated intracranial pyoinflammatory complications. Golova i sheya. Rossijskij zhurnal = Head and neck. Russian Journal. 2019;7(3):36–40 (in Russian).
作者对所提供数据的独创性以及发布说明性材料（表格，图表，患者照片）的可能性负责。