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[耳与颞骨创伤学]

[Traumatology of the ear and temporal bone].

作者信息

Thomas J P, Minovi A, Dazert S

机构信息

Klinik für Hals-Nasen-Ohrenheilkunde, Ruhr-Universität Bochum, St.-Elisabeth-Hospital Bochum, Deutschland.

出版信息

HNO. 2011 Dec;59(12):1233-42; quiz 1243-4. doi: 10.1007/s00106-011-2425-6.

DOI:10.1007/s00106-011-2425-6
PMID:22159342
Abstract

In addition to injuries to the pinna otologic traumatology comprises in particular injuries of the tympanic membrane and ossicular chain, temporal bone fractures together with accompanying impairment of the labyrinth and facial nerve as well as acoustic trauma and barotrauma. Depending on the mechanism of injury and typical symptoms, such as hemorrhagic otorrhoea, hearing loss, vertigo, tinnitus, facial nerve palsy, otoliquorrhea or pseudorhinoliquorrhea, further investigations should be planned. The present article provides an overview of the necessary further diagnostic measures as well as the therapeutic options currently available for all forms of injury mentioned here.

摘要

耳科创伤学除了包括耳廓损伤外,尤其还包括鼓膜和听骨链损伤、颞骨骨折以及伴随的迷路和面神经损伤,还有声创伤和气压创伤。根据损伤机制和典型症状,如耳出血、听力损失、眩晕、耳鸣、面神经麻痹、耳漏或假性鼻漏,应规划进一步的检查。本文概述了必要的进一步诊断措施以及目前针对此处提及的所有损伤形式的治疗选择。

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1
[Traumatology of the ear and temporal bone].[耳与颞骨创伤学]
HNO. 2011 Dec;59(12):1233-42; quiz 1243-4. doi: 10.1007/s00106-011-2425-6.
2
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Hearing loss and vertigo secondary to head injury.头部损伤继发的听力丧失和眩晕
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[Imaging of post-traumatic tinnitus, vertigo and deafness].[创伤后耳鸣、眩晕及耳聋的影像学表现]
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Temporal bone fracture with tympanic membrane perforation and hemorrhage.颞骨骨折伴鼓膜穿孔和出血。
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本文引用的文献

1
[Update: blast and explosion trauma].[更新:冲击波与爆炸伤]
HNO. 2011 Aug;59(8):811-8. doi: 10.1007/s00106-011-2352-6.
2
A randomised controlled trial comparing spontaneous healing, gelfoam patching and edge-approximation plus gelfoam patching in traumatic tympanic membrane perforation with inverted or everted edges.一项比较创伤性鼓膜穿孔伴内翻或外翻边缘时自发愈合、明胶海绵贴补和边缘接近加明胶海绵贴补的随机对照试验。
Clin Otolaryngol. 2011 Jun;36(3):221-6. doi: 10.1111/j.1749-4486.2011.02319.x.
3
Microsurgical replantation and salvage procedures in traumatic ear amputation.
外伤性耳离断的显微外科再植与挽救手术
J Trauma. 2010 Oct;69(4):E15-9. doi: 10.1097/TA.0b013e3181bbd644.
4
Management and outcomes of facial paralysis from intratemporal blunt trauma: a systematic review.颞骨钝性创伤后面瘫的处理和结局:系统评价。
Laryngoscope. 2010 Jul;120(7):1397-404. doi: 10.1002/lary.20943.
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Treatment of auricular hematoma by OK-432.OK-432 治疗耳廓血肿。
Otolaryngol Head Neck Surg. 2010 Jun;142(6):863-6. doi: 10.1016/j.otohns.2010.03.006.
6
The effect of surgical timing on functional outcomes of traumatic facial nerve paralysis.手术时机对创伤性面神经麻痹功能预后的影响。
J Trauma. 2010 Apr;68(4):924-9. doi: 10.1097/TA.0b013e3181a8b2d9.
7
Self-inflicted negative pressure of the external ear canal: a common cause of isolated malleus fractures.外耳道的自伤性负压:孤立性锤骨骨折的常见原因。
Acta Otolaryngol. 2010 Mar;130(3):410-6. doi: 10.1080/00016480903177521.
8
Traumatic stapes fracture with rotation and subluxation into the vestibule and pneumolabyrinth.外伤性镫骨骨折伴旋转及半脱位进入前庭和气骨迷路。
Laryngoscope. 2009 Jun;119(6):1195-7. doi: 10.1002/lary.20234.
9
[Surgical management of traumatic ear amputations: literature review].[外伤性耳离断的外科治疗:文献综述]
Ann Chir Plast Esthet. 2009 Apr;54(2):146-51. doi: 10.1016/j.anplas.2008.08.002. Epub 2008 Nov 29.
10
Determinants of spontaneous healing in traumatic perforations of the tympanic membrane.鼓膜外伤性穿孔自然愈合的决定因素。
Clin Otolaryngol. 2008 Oct;33(5):420-6. doi: 10.1111/j.1749-4486.2008.01764.x.