Waissbluth S, Ywakim R, Al Qassabi B, Torabi B, Carpineta L, Manoukian J, Nguyen L H P
Department of Otolaryngology-Head and Neck Surgery, Montreal Children's Hospital, McGill University, Montreal, Quebec, Canada.
Department of Radiology, Montreal Children's Hospital, McGill University, Montreal, Quebec, Canada.
Int J Pediatr Otorhinolaryngol. 2016 May;84:106-9. doi: 10.1016/j.ijporl.2016.02.034. Epub 2016 Mar 10.
Temporal bone fractures are relatively common findings in patients with head trauma. The aim of this study was to evaluate the characteristics of temporal bone fractures in the pediatric population.
Retrospective case series. Tertiary care pediatric academic medical center.
The medical records of patients aged 18 years or less diagnosed with a temporal bone fracture at the Montreal Children's Hospital from January 2000 to August 2014 were reviewed. Patient demographics, clinical presentation, mechanism of injury and complications were analyzed. Imaging studies and audiograms were also evaluated.
Out of 323 patients presenting to the emergency department with a skull fracture, 61 presented with a temporal bone fracture. Of these, 5 presented with bilateral fractures. 47 patients had associated fractures, and 3 patients deceased. We observed a male to female ratio of 2.8:1, and the average age was 9.5 years. Motor vehicle accidents were the primary mechanism of injury (53%), followed by falls (21%) and bicycle or skateboard accidents (10%). The most common presenting signs included hemotympanum, decreased or loss of consciousness, facial swelling and nausea and vomiting. 8 patients had otic involvement on computed tomography scans, and 30 patients had documented hearing loss near the time of accident with a majority being conductive hearing loss. 17 patients underwent surgical management of intracranial pressure.
In children, fractures of the temporal bone were most often caused by motor vehicle accidents and falls. It is common for these patients to have associated fractures.
颞骨骨折在头部外伤患者中较为常见。本研究旨在评估儿童人群中颞骨骨折的特征。
回顾性病例系列研究。三级儿科教学医学中心。
回顾了2000年1月至2014年8月在蒙特利尔儿童医院诊断为颞骨骨折的18岁及以下患者的病历。分析了患者的人口统计学资料、临床表现、损伤机制和并发症。还评估了影像学检查和听力图。
在323例因颅骨骨折就诊于急诊科的患者中，61例存在颞骨骨折。其中，5例为双侧骨折。47例患者合并有其他骨折，3例患者死亡。我们观察到男女比例为2.8:1，平均年龄为9.5岁。机动车事故是主要的损伤机制（53%），其次是跌倒（21%）和自行车或滑板事故（10%）。最常见的表现体征包括鼓膜积血、意识减退或丧失、面部肿胀以及恶心和呕吐。8例患者在计算机断层扫描中显示耳部受累，30例患者在事故发生时记录有听力损失，大多数为传导性听力损失。17例患者接受了颅内压的手术治疗。
在儿童中，颞骨骨折最常由机动车事故和跌倒引起。这些患者合并其他骨折很常见。
