Lesinski-Schiedat A, Schäfer S, Ernst A, Kempf H G, Lenarz T
Klinik und Poliklinik für Hals-, Nasen-, Ohrenheilkunde, Medizinische Hochschule Hannover.
HNO. 1999 Nov;47(11):990-3. doi: 10.1007/s001060050481.
We report our experience in managing a temporal bone fracture after head trauma that had no apparent clinical signs. Recurrent CSF rhinorrhea and meningitis lead to extensive diagnostic procedures. Operative exploration of the temporal bone demonstrated a fracture line along the horizontal part of the carotid artery. The location of the fracture did not cause such typical symptoms as hearing impairment, facial paralysis, vertigo or tinnitus. Only CSF liquorrhea through the Eustachian tube indicated a fracture at the lateral skull base.
我们报告了在处理一例头部外伤后颞骨骨折的经验,该骨折无明显临床症状。反复出现的脑脊液鼻漏和脑膜炎导致了广泛的诊断程序。颞骨的手术探查显示一条沿颈动脉水平部的骨折线。骨折的位置并未引起听力障碍、面瘫、眩晕或耳鸣等典型症状。仅通过咽鼓管的脑脊液漏提示颅底外侧骨折。