Department of Otorhinolaryngology and Maxillofacial Surgery, Clinical Hospital Centre Zemun, Medical School, University of Belgrade, Vukova 9, 11080, Belgrade, Serbia.
Eur Arch Otorhinolaryngol. 2012 Feb;269(2):399-403. doi: 10.1007/s00405-011-1641-8. Epub 2011 May 24.
The objective of the study is to review clinical findings and outcomes in patients with temporal bone fractures, and to show an incidence and management of complications. It is the retrospective clinical study and the study took place at tertiary referral center. Fifty-two patients with temporal bone fractures. Data were collected from patients' charts and clinical review. Patients were classified into five groups according to the CT scan. The primary endpoint of study was to show management of possible complication from temporal bone fractures and to analyze association with intracranial injuries. The second endpoint was to show incompleteness of traditionally classification of fracture type. Of the 52 patients with 54 fractures, 27 (50%) had longitudinal fractures, 4 (7.4%) had transverse fractures, 17 (31.5%) had temporal squama-mastoid fractures, 4 (7.4%) had mixed fractures and 2 (3.7%) had isolated meatal fracture. Fifty-eight percent of patients had at least one intracranial pathologic finding, of which 11% had two or more. Persistent conductive hearing loss was noted in 8 of 16 affected patients. The facial paralysis occurred in seven patients. One patient had benign paroxysmal positional vertigo developed 3 weeks after injury. In conclusion, rarely temporal bone fractures are isolated injures. The squama-mastoid fracture in most cases associated with intracranial injuries. Coordination between the neurosurgeon and otologist is essential in the care of such patients. Further large studies will be done to give a more complete classification of temporal bone fractures which will include all fracture patterns and predict clinical outcome.
本研究旨在回顾颞骨骨折患者的临床发现和结果，并展示并发症的发生率和处理方法。这是一项回顾性临床研究，在三级转诊中心进行。共纳入 52 例颞骨骨折患者。数据从患者病历和临床回顾中收集。根据 CT 扫描将患者分为五组。研究的主要终点是展示颞骨骨折可能并发症的处理方法，并分析其与颅内损伤的关系。第二个终点是展示传统骨折类型分类的不完整性。52 例患者中有 54 处骨折，其中 27 例（50%）为纵行骨折，4 例（7.4%）为横行骨折，17 例（31.5%）为颞鳞-乳突骨折，4 例（7.4%）为混合性骨折，2 例（3.7%）为单纯耳道骨折。58%的患者至少有一处颅内病理发现，其中 11%有两处或更多。16 例受影响患者中有 8 例出现持续性传导性听力损失。7 例患者出现面瘫。1 例患者在受伤后 3 周出现良性阵发性位置性眩晕。总之，颞骨骨折很少是孤立性损伤。大多数情况下，乳突骨折与颅内损伤有关。神经外科医生和耳科医生之间的协调对这类患者的治疗至关重要。进一步的大型研究将对颞骨骨折进行更完整的分类，包括所有骨折类型，并预测临床结果。
