Ghorayeb B Y, Yeakley J W, Hall J W, Jones B E
Arch Otolaryngol Head Neck Surg. 1987 Jul;113(7):749-53. doi: 10.1001/archotol.1987.01860070063017.
Eighty-two temporal bone fractures were diagnosed in 75 patients with high-resolution computed tomographic scanning. Excluding six gunshot injuries, 55 (72%) of the fractures were oblique, 11 (15%) were longitudinal, and ten (13%) were transverse. Facial paresis or paralysis occurred in 45 patients (60%), hemotympanum occurred in 67 (89%), and cerebrospinal fluid otorrhea occurred in 19 (25%). Among 66 patients in whom audiometry was performed, 20 (30%) had conductive hearing loss, nine (14%) had sensorineural loss, and 36 (55%) had mixed hearing loss. Vestibular symptoms were present in 23 patients (30%). Other unusual complications of temporal bone fractures were observed: bilateral abducens paralysis, three patients (4%); unilateral abducens paralysis, two (2.67%); trigeminal paralysis, one (1.33%); and aseptic sigmoid sinus thrombosis, one (1.33%).
通过高分辨率计算机断层扫描，在75例患者中诊断出82例颞骨骨折。排除6例枪伤后，55例（72%）骨折为斜行骨折，11例（15%）为纵行骨折，10例（13%）为横行骨折。45例患者（60%）出现面部轻瘫或面瘫，67例（89%）出现血鼓室，19例（25%）出现脑脊液耳漏。在进行听力测定的66例患者中，20例（30%）有传导性听力损失，9例（14%）有感音神经性听力损失，36例（55%）有混合性听力损失。23例患者（30%）出现前庭症状。观察到颞骨骨折的其他罕见并发症：双侧展神经麻痹3例（4%）；单侧展神经麻痹2例（2.67%）；三叉神经麻痹1例（1.33%）；无菌性乙状窦血栓形成1例（1.33%）。
