Collins John M, Krishnamoorthy Aswin K, Kubal Wayne S, Johnson Michele H, Poon Colin S
Department of Radiology, The University of Chicago Pritzker School of Medicine, Chicago, IL 60637, USA.
Semin Ultrasound CT MR. 2012 Oct;33(5):418-31. doi: 10.1053/j.sult.2012.06.006.
Temporal bone fracture is a relatively common finding among trauma patients. Before the development of high-resolution multidetector computed tomography (MDCT) imaging, fractures of the skull base and temporal bone were a challenge to diagnose clinically. With current imaging technology, most such fractures are easily detected, and the challenge now lies in predicting the severity of injury and possible complications. In this review, we discuss the detection and classification of temporal bone fractures, their distinction from pseudofractures, and the role of imaging in establishing prognosis, particularly with respect to complications.
颞骨骨折在创伤患者中是较为常见的表现。在高分辨率多排螺旋计算机断层扫描(MDCT)成像技术发展之前,颅底和颞骨骨折在临床上诊断颇具挑战。借助当前的成像技术,大多数此类骨折易于检测出来,而现在的挑战在于预测损伤的严重程度及可能出现的并发症。在本综述中,我们讨论颞骨骨折的检测与分类、其与假性骨折的鉴别,以及成像在判断预后(特别是关于并发症方面)所起的作用。