Temporal bone fractures: evaluation of 77 patients and a management algorithm

Yalçıner, Gökhan; Kutluhan, Ahmet; Bozdemir, Kazım; Çeti̇n, Hüseyin; Tarlak, Behçet; Bilgen, Akif Sinan

doi:10.5505/tjtes.2012.98957

Cited by 19 publications

(6 citation statements)

References 12 publications

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“…The severity of injuries in head injured patients, the patients' level of consciousness, the presence of other injuries requiring emergent intervention usually leads to a delay in the otorhinolaryngological evaluation and management of these patients. [ 18 ]…”

Section: Discussionmentioning

confidence: 99%

Otorhinolaryngological manifestations in head trauma: A prospective study of the epidemiology, clinical presentations, management, and outcomes

Adoga

Ozoilo

Iduh

et al. 2017

Int J Crit Illn Inj Sci

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Background:Otorhinolaryngological injuries following head trauma may be missed, overlooked, or forgotten in the acute phase resulting in worsened management outcomes. This study aims to report the epidemiology, clinical presentations, management, and outcomes of otorhinolaryngological injuries in head trauma with a view to creating awareness for early recognition and prompt treatment.Patients and Methods:Head injured patients consecutively presenting over a 5-year period were prospectively studied for age, gender, otorhinolaryngological presentations, interventions, and outcome of interventions. Data obtained were statistically analyzed.Results:There were 91 (1.3%) otorhinolaryngological presentations among 7109 head injured patients. Mean age of 34 years, standard deviation = ±15.6 with a male:female ratio of 2.4:1. Severe head injury (Glasgow coma scale <9) occurred in 46 (50.5%) patients. Patients aged 30–39 years were mostly affected (n = 30; 32.9%). Most injuries were from motor vehicular accidents (n = 61; 67%) and assaults (n = 23; 25.3%). The most common otorhinolaryngological presentations were cerebrospinal fluid (CSF) rhinorrhea (n = 26; 28.6%) and CSF otorrhea (n = 25; 27.5%). Conservative management was achieved in 59.3% of patients. Mean time of hospital presentation was 13.8 h. There was no statistical correlation between outcomes and each of etiology and time of presentation (P values 0.18 and 0.9, respectively). Seventy-five (82.4%) were discharged without neurological deficits. A case fatality rate of 6.6% was recorded.Conclusion:Frontal skull base and temporal bone fractures with CSF rhinorrhea and otorrhea are the most common injuries occurring mostly in young active males with favorable outcomes following conservative management.

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Section: Discussionmentioning

confidence: 99%

Otorhinolaryngological manifestations in head trauma: A prospective study of the epidemiology, clinical presentations, management, and outcomes

Adoga

Ozoilo

Iduh

et al. 2017

Int J Crit Illn Inj Sci

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“…Consistent with the literature, the most frequent finding in the initial post-traumatic otoscopic examinations was otorrhagia/otorrhea, both isolated and in conjunction with other symptoms. [ 6 , 37 , 38 ] Tympanic perforation was found in 12.3% of all cases in our study, whereas in cases of assault, this rate was 43.48%.…”

Section: Discussionmentioning

confidence: 41%

Assessment of hearing sequelae in individuals tested post-trauma

Savaş

2024

Ulus Travma Acil Cerrahi Derg

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“…7 Several studies shows that 50% of transverse fractures will present with facial nerve paralysis. 8,9 Although the results of this study mirrored the observation that the anatomical classification of temporal bone fractures into longitudinal and transverse types may be convenient but offer no clinical distinction in predicting the development of facial nerve paralysis, the limitations of our study need to be considered. A primary limitation of this study is the small sample size, especially reflected in the otic-disrupting subset that is not large enough to compare the occurrence of facial nerve paralysis.…”

Section: Discussionmentioning

confidence: 66%

Facial Paralysis in Longitudinal versus Oblique and Otic-Sparing versus Non Otic-Sparing Temporal Bone Fractures

Chua¹,

Lacanilao²

2019

Philipp J Otolaryngol Head Neck Surg

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Objective: To compare the proportion of temporal bone fractures using traditional (longitudinal vs. transverse) and otic involvement (otic sparing vs. non-otic sparing) classification schemes and their relationship with the development of facial paralysis. Methods: Design: Retrospective Case Series Settings: Tertiary Government Hospital Patients: Records of 49 patients diagnosed with temporal bone fracture in our institution from August 2016 to June 2018. Results: A total of 41 records of patients with temporal bone fractures, 32 males, 9 females, aged 5 to 70 years-old (mean 37.5-years-old) were included. In terms of laterality 23 (56%) involved the right and 17 (41%) the left side. Traditionally classified, 32 (78%) were longitudinal and 9 (22%) were transverse. Using newer classification based on otic involvement and non-otic involvement, 38 (93%) were otic-sparing and 3 (7%) were non otic-sparing. Only 9 (22%) out of 41 total fracture patients developed facial paralysis, involving 7 of the 32 longitudinal fractures and 2 of the 9 transverse fractures, or 8 of the 38 otic-sparing and 1 out of 3 non otic-sparing fractures. Conclusion: Because of the small sample size, no conclusions regarding the proportion of temporal bone fractures using traditional (longitudinal vs. transverse) and otic involvement (otic sparing vs. non-otic sparing) classification schemes and their relationship with the development of facial paralysis can be drawn in this study. Keywords: head injuries; head trauma; skull fracture; temporal bone fracture; motor vehicles; traffic accidents; facial paralysis

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Temporal bone fractures: evaluation of 77 patients and a management algorithm

Cited by 19 publications

References 12 publications

Otorhinolaryngological manifestations in head trauma: A prospective study of the epidemiology, clinical presentations, management, and outcomes

Otorhinolaryngological manifestations in head trauma: A prospective study of the epidemiology, clinical presentations, management, and outcomes

Assessment of hearing sequelae in individuals tested post-trauma

Facial Paralysis in Longitudinal versus Oblique and Otic-Sparing versus Non Otic-Sparing Temporal Bone Fractures

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