+44 151 808 1136Diagnosis of vestibular disorders in blast-related mild traumatic brain injury patients
7th International Conference on Otolaryngology: ENT Surgery
September 05-06, 2019 | London, UK
Kvasha O, Skobska O and Malisheva O
Institute of Neurosurgery, Ukraine
Scientific Tracks Abstracts : Otolaryngology online
Abstract:
The aim is to analyze the vestibular disorders in blast-related
mild traumatic brain injury (TBI) patients.
Materials and methods: The retrospective analysis included
39 patients, with TBI during war in Dondass and were treated
from 2017 to 2018. The average age was 35.2 ± 5.7 years.
Group of comparison – 15 healthy persons.
Postural control function was assessed with CS“Stabiloanalyzer
01-03” (“Rhythm”), using open and closed eye Romberg test,
dynamic test “Target”, specialized questioners FGA, DGI, DHI.
Results: Among patients' complaints were dizziness 79.4%,
stiffness while walking 38.4%, double vision 15.3%, and
otalgia17.9%. During the pure tone audiometry, conductive
hearing loss was observed in 7 patients (17.9%), mixed type
in 5 (12.8%) patients, sensorineural hearig loss: bilateral - in 9
(23.0%); unilateral - at 8 (20.5%); normal hearing in 10 (25.6%)
patients.According to the The Functional Gait Assessment,
the average score for vestibular disorders was 21 ± 3.2, which
corresponds to a mild and moderate disorder.
Dynamic Gait Index: The average rate was 17.3 ± 0.8, indicating
good vestibular compensation for young patients.
Dizziness Handycap Inventory questioner: 34±0.9 corresponds
to a moderate disordes of vestibular function.Analysis of the
results obtained during the conduct of CS in TBI patients revealed
a probable trend towards statistically significant differences
in the classical baseline indices of statoquinezigrams (length
of fluctuations of the total pressure center, statokinezigma
area more than 200cm³, and average velocity of movement)
according to the group of comparison (p≤0,05).
Conclusion: Specialized questionnaires and CS method are
the methods of evaluation of spontaneous pathological
vestibular disorders in patients with TBI and open new
opportunities for objective clinical and expert evaluation of
vestibular dysfunction during social security medical exams
and medical forensic examination of participants of hostilities.
Biography:
Kvasha O has completed her PhD at the age of 25 years from Bogomolets Nayional Medical University, Ukraine. She is the ENT doctor and neurootologist of the Institute of neurosurgery, Kyiv, Ukraine. She is a member of La Societe internationale d'otoneurologie (France), International Society of Aestetic Plastic Surgery, Society of Ukrainian ENT doctors. Her current research project focuses on vestibular and otologic disorders in blast-related traumatic brain injury patients. She performs intraoperative neuromonitoring in the Institute of neurosurgery, Kyiv. She was trained in The Portmann Instuitute, Bordeaux, France. She has 28 publications that have been cited over 25 times.
E-mail: elenakvashamed@gmail.com
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