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Temporal Bone Fractures: Review of 90 Cases

Temporal Bone Fractures: Review of 90 Cases Abstract • Of 1,300 consecutive head-injured patients admitted to the hospital over a 20-month time period, 118 were found to have skull fractures, of which 22% involved the temporal bone. These figures form part of a larger study of 90 temporal bone fractures treated over a six-year period from 1975 through 1981. The most common cause of a temporal bone fracture was a motor vehicle accident occurring in 40/90 (44%) patients. Pertinent physical findings, occurring alone or in combination, were a hemotympanum, bleeding from the ear canal, tympanic membrane perforation, facial paralysis, and CSF otorrhea. The diagnosis of temporal bone fractures is best made clinically and radiographically. The early care of temporal bone fractures is directed toward the treatment of CSF otorrhea and immediate onset facial paralysis. The delayed care is primarily concerned with hearing rehabilitation. (Arch Otolaryngol 1983;109:285-288) References 1. Lindeman RC: Temporal bone trauma and facial paralysis . Otolaryngol Clin North Am 1979;12:403-413. 2. Hough JVD: Fractures of the temporal bone and associated middle and inner ear trauma . Proc R Soc Med 1970;63:245-256. 3. Harker LA, McCabe BF: Temporal bone fractures and facial nerve injury . Otolaryngol Clin North Am 1974;7:425-431. 4. Travis LW, Stalnaker RL, Melvin JW: Impact trauma of the human temporal bone . J Trauma 1977;17:761-766.Crossref 5. Potter GP: Temporal bone fractures: Problems in radiologic diagnosis . Laryngoscope 1972;82:408-413.Crossref 6. Shaffer KA, Haughton VM: Thin section computed tomography of the temporal bone . Laryngoscope 1980;90:1099-1105.Crossref 7. Rimel RW, Jane JA: The characteristics of the head injured patient , in Bond MA, Jennett B (eds): Rehabilitation of the Brain Injured Patient . Philadelphia, FA Davis Co, in press. 8. McCabe BF: Injuries to the facial nerve . Laryngoscope 1972;82:1891-1896.Crossref 9. Fisch U: Facial paralysis in fractures of the petrous bone . Laryngoscope 1974;84:2141-2154.Crossref 10. Tos M: Course of and sequelae to 248 petrosal fractures . Acta Otolaryngol 1973;75:353-354.Crossref 11. Rizvi SS, Gibbon KP: Effect of transverse temporal bone fracture on the fluid compartment of the inner ear . Ann Otol Rhinol Laryngol 1979;88:741-748. 12. Pulec J: Meniere's disease: Results of 2½ years study of etiology: Natural history and results of treatment . Laryngoscope 1972;82:1703-1714.Crossref 13. Schuknecht HF: Cupulolithiasis . Arch Otolaryngol 1969;90:765-778.Crossref 14. Podoshin L, Fradis M: Hearing loss after head injury . Arch Otolaryngol 1975;101:15-18.Crossref 15. Tos M: Prognosis of hearing loss in temporal bone fractures . J Laryngol Otol 1971;85:1147-1159.Crossref 16. Hough JVD, Stuart WD: Middle ear injuries in skull trauma . Laryngoscope 1968;78:899-937.Crossref 17. McHugh HE: Facial paralysis in birth injury and skull fractures . Arch Otolaryngol 1963;78:443-455.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Temporal Bone Fractures: Review of 90 Cases

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Publisher
American Medical Association
Copyright
Copyright © 1983 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1983.00800190007002
Publisher site
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Abstract

Abstract • Of 1,300 consecutive head-injured patients admitted to the hospital over a 20-month time period, 118 were found to have skull fractures, of which 22% involved the temporal bone. These figures form part of a larger study of 90 temporal bone fractures treated over a six-year period from 1975 through 1981. The most common cause of a temporal bone fracture was a motor vehicle accident occurring in 40/90 (44%) patients. Pertinent physical findings, occurring alone or in combination, were a hemotympanum, bleeding from the ear canal, tympanic membrane perforation, facial paralysis, and CSF otorrhea. The diagnosis of temporal bone fractures is best made clinically and radiographically. The early care of temporal bone fractures is directed toward the treatment of CSF otorrhea and immediate onset facial paralysis. The delayed care is primarily concerned with hearing rehabilitation. (Arch Otolaryngol 1983;109:285-288) References 1. Lindeman RC: Temporal bone trauma and facial paralysis . Otolaryngol Clin North Am 1979;12:403-413. 2. Hough JVD: Fractures of the temporal bone and associated middle and inner ear trauma . Proc R Soc Med 1970;63:245-256. 3. Harker LA, McCabe BF: Temporal bone fractures and facial nerve injury . Otolaryngol Clin North Am 1974;7:425-431. 4. Travis LW, Stalnaker RL, Melvin JW: Impact trauma of the human temporal bone . J Trauma 1977;17:761-766.Crossref 5. Potter GP: Temporal bone fractures: Problems in radiologic diagnosis . Laryngoscope 1972;82:408-413.Crossref 6. Shaffer KA, Haughton VM: Thin section computed tomography of the temporal bone . Laryngoscope 1980;90:1099-1105.Crossref 7. Rimel RW, Jane JA: The characteristics of the head injured patient , in Bond MA, Jennett B (eds): Rehabilitation of the Brain Injured Patient . Philadelphia, FA Davis Co, in press. 8. McCabe BF: Injuries to the facial nerve . Laryngoscope 1972;82:1891-1896.Crossref 9. Fisch U: Facial paralysis in fractures of the petrous bone . Laryngoscope 1974;84:2141-2154.Crossref 10. Tos M: Course of and sequelae to 248 petrosal fractures . Acta Otolaryngol 1973;75:353-354.Crossref 11. Rizvi SS, Gibbon KP: Effect of transverse temporal bone fracture on the fluid compartment of the inner ear . Ann Otol Rhinol Laryngol 1979;88:741-748. 12. Pulec J: Meniere's disease: Results of 2½ years study of etiology: Natural history and results of treatment . Laryngoscope 1972;82:1703-1714.Crossref 13. Schuknecht HF: Cupulolithiasis . Arch Otolaryngol 1969;90:765-778.Crossref 14. Podoshin L, Fradis M: Hearing loss after head injury . Arch Otolaryngol 1975;101:15-18.Crossref 15. Tos M: Prognosis of hearing loss in temporal bone fractures . J Laryngol Otol 1971;85:1147-1159.Crossref 16. Hough JVD, Stuart WD: Middle ear injuries in skull trauma . Laryngoscope 1968;78:899-937.Crossref 17. McHugh HE: Facial paralysis in birth injury and skull fractures . Arch Otolaryngol 1963;78:443-455.Crossref

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: May 1, 1983

References