Cost effective use of audiograms after pediatric temporal bone fractures

Frisenda, Julia L.; Schroeder, James W.; Ryan, Maura E.; Valika, Taher; Billings, Kathleen R.

doi:10.1016/j.ijporl.2015.09.009

Cited by 7 publications

(5 citation statements)

References 12 publications

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“…Included patients ranged from 0.0 to 18.0 years of age, with males comprising 67.5% [95% CI 64.7‐70.4] of the included patients (Table 2). A total of 16 studies classified their TBFs using the traditional method, 5,9,15,16,27‐38 with 13 using the new classification system 5,9,16,27,28,31,32,34,36,37,39‐41 . Longitudinal TBFs were the most common (61.0% [95% CI 46.9‐74.2]), as compared to both transverse (13.3 [95% CI 9.4‐17.8]) and mixed (19.3% [95% CI 7.6‐34.8]) TBFs.…”

Section: Resultsmentioning

confidence: 99%

“…The 2 most common methods of injury included falls (41.6% [95% CI 35.9‐47.5]) and motor vehicle accidents (27.1% [95% CI 20.3‐34.4]). Twelve studies included clinical information on follow‐up after the acute episode, with reported times ranging from 0.2 to 46.0 months 5,9,15,27‐29,32‐35,40,41 …”

Section: Resultsmentioning

confidence: 99%

“…A total of 16 studies classified their TBFs using the traditional method, 5,9,15,16,27-38 with 13 using the new classification system. 5,9,16,27,28,31,32,34,36,37,[39][40][41] Longitudinal TBFs were the most common (61.0% [95% CI 46.9-74.2]), as compared to both transverse (13. Twelve studies included clinical information on follow-up after the acute episode, with reported times ranging from 0.2 to 46.0 months.…”

Section: Patient Characteristicsmentioning

confidence: 99%

“…Twelve studies included clinical information on follow-up after the acute episode, with reported times ranging from 0.2 to 46.0 months. 5,9,15,[27][28][29][32][33][34][35]40,41…”

Section: Patient Characteristicsmentioning

confidence: 99%

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Complications After Pediatric Temporal Bone Fractures by Classification System: A Systematic Review and Meta‐analysis

Poupore,

Britt,

Nguyen

et al. 2024

Otolaryngol.--head neck surg.

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ObjectiveTo analyze the rates of complications after pediatric temporal bone fractures (TBF) and the utility of the longitudinal, transverse, and mixed versus the otic capsule sparing (OCS) and otic capsule violating (OCV) classification systems in predicting these complications.Data SourcesPubMed, Scopus, and CINAHL.Review MethodsPer PRISMA guidelines, studies of children with TBFs were included. Meta‐analyses of proportions were performed.ResultsA total of 22 studies with 1376 TBFs were included. Children with TBF had higher rates of conductive hearing loss (CHL) than sensorineural hearing loss (SNHL) (31.3% [95% confidence interval [CI] 23.2‐40.1] vs 12.9% [95% CI 8.9‐17.5]). No differences in both CHL and SNHL were seen between longitudinal and transverse TBFs; however, OCV TBFs had higher rates of SNHL than OCS TBFs (59.3% [95% CI 27.8‐87.0] vs 4.9% [95% CI 1.5‐10.1]). Of all patients, 9.9% [95% CI 7.2‐13.1] experienced facial nerve (FN) paresis/paralysis, and 13.4% [95% CI 5.9‐23.2] experienced cerebrospinal fluid otorrhea. Transverse TBFs had higher rates of FN paresis/paralysis than longitudinal (27.7% [95% CI 17.4‐40.0] vs 8.6% [95% CI 5.2‐12.8]), but rates were similar between OCS and OCV TBFs.ConclusionCHL was the most common complication after TBF in children; however, neither classification system was superior in identifying CHL. The traditional system was more effective at identifying FN injuries, and the new system was more robust at identifying SNHL. While these results suggest that both classification systems might have utility in evaluating pediatric TBFs, these analyses were limited by sample size. Future research on outcomes of pediatric TBFs stratified by type of fracture, mainly focusing on long‐term outcomes, is needed.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Patient Characteristicsmentioning

confidence: 99%

“…Twelve studies included clinical information on follow-up after the acute episode, with reported times ranging from 0.2 to 46.0 months. 5,9,15,[27][28][29][32][33][34][35]40,41…”

Section: Patient Characteristicsmentioning

confidence: 99%

See 2 more Smart Citations

Complications After Pediatric Temporal Bone Fractures by Classification System: A Systematic Review and Meta‐analysis

Poupore,

Britt,

Nguyen

et al. 2024

Otolaryngol.--head neck surg.

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“…La exploración incluye inspección y otoscopia (otohematoma, otorragia, otolicuorrea, hemotímpano, escalón), estudio audiológico y exploración otoneurológica adaptada a la edad, si es posible con gafas de Frenzel [2].…”

Section: Diagnósticounclassified

Causas de vértigo periférico en la infancia

Coscarón-Blanco,

Santos-Gorjón,

Pérez-Liedo

et al. 2023

ORL

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Introducción y objetivo: Dentro de los vértigos agudos y episódicos infantiles, los secundarios a traumatismos, otitis media, neuritis/laberintitis, fístula perilinfática, enfermedad de Ménière, paroxismia vestibular, vértigo posicional paroxístico benigno y vestibulopatía bilateral suponen en torno a un 10% de todos los trastornos vestibulares. Su diagnóstico debe ser precoz en base a los criterios definitorios, aunque en niños existen otros accesorios que deben conocerse (cambios del comportamiento, digestivos, etc.…). El tratamiento buscará la resolución sintomática precoz de las crisis, la prevención o reducción de recidivas, la minimización y paliación de secuelas y la máxima normalización de su vida y actividad cotidiana. Objetivo: Realizar una breve y práctica revisión sobre la clínica, los criterios diagnósticos y el tratamiento del vértigo infantil en los supuestos anteriormente mencionados. Método: Revisión narrativa empleando PubMed, Fisterra, ClinicalKey y Google Scholar. Resultados: Se obtuvieron citas, de las cuáles se desecharon aquéllas no significativas por su carácter general, antigüedad, no relevancia a criterio de los autores o no disponibilidad en inglés o castellano. Se consideraron para la presente revisión un total de 60 trabajos. Discusión: Revisión narrativa sobre los temas descritos. Conclusiones: Los criterios diagnósticos y el tratamiento para los tópicos propuestos en este capítulo están definidos para el adulto; sin embargo, en niños, deberemos considerar criterios accesorios para un pronto diagnóstico. El tratamiento está condicionado por la edad y se sustenta en varios pilares (farmacológico, hábitos de vida, rehabilitación y psicológico). El pronóstico, en general, es mejor que el del adulto por la plasticidad neural infantil.

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