The implications of physical injury on otovestibular and cognitive symptomatology following blast exposure

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
Christopher M JohnsonMichael E Hoffer

Abstract

Identify a potential difference in the spectrum of otovestibular and cognitive symptoms in blast-exposed patients comparing individuals with or without significant extremity injuries. Case series with chart review. A military tertiary care medical center. All new patient referrals for otovestibular evaluation after a blast injury or exposure were identified in the electronic medical record. One hundred consecutive patients meeting these criteria were studied. Data including presence of severe extremity injuries, diagnosis of mild traumatic brain injury, symptoms of imbalance, vertigo, headache, tympanic membrane perforation, hearing loss, and tinnitus were collected and analyzed. Of 100 patients included, 38 suffered severe extremity injuries. Those patients with severe extremity injuries were more likely to suffer from tympanic membrane perforations (58% vs. 23%, P < .001, odds ratio [OR], 4.71, 95% confidence interval [CI], 1.96-11.33) and hearing loss (53% vs. 23%, P = .002, OR, 3.81, 95% CI, 1.59-9.11). However, those without severe extremity injuries were more likely to suffer from imbalance (79% vs. 32%, P < .001, OR, 8.17, 95% CI, 3.26-20.44) and vertigo (47% vs. 2%, P < .001, OR, 32.52, 95% CI, 4.19-252.07) and more lik...Continue Reading

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Citations

Aug 2, 2015·Neurologic Clinics·Michael E HofferCarey D Balaban
Dec 17, 2014·Current Opinion in Neurology·Michael E Hoffer

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BETA
amputation

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NCSS

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