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一例罕见的孤立性双侧鼓膜板骨折病例。

A Peculiar Case of Isolated Bilateral Tympanic Plate Fractures.

作者信息

Bhat Priyanka, Sharma Raman, Passey J C, Kumari Niyati

机构信息

Otolaryngology - Head and Neck Surgery, World College of Medical Science and Research, Jhajjar, IND.

Otolaryngology - Head and Neck Surgery, Maulana Azad Medical College, New Delhi, IND.

出版信息

Cureus. 2024 Feb 29;16(2):e55243. doi: 10.7759/cureus.55243. eCollection 2024 Feb.

DOI:10.7759/cureus.55243
PMID:38558657
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10981458/
Abstract

Tympanic plate fractures are uncommon injuries and carry the risk of external auditory canal stenosis. These injuries are often associated with fractures of adjacent bones like the mandible, maxilla, and temporal bone. Isolated bilateral tympanic bone fractures have rarely been reported. The most frequently advocated treatment for these injuries is surgical to prevent canal stenosis in the future. The effectiveness of non-operative management has been seldom reported. In the current case report, we present an uncommon injury with isolated bilateral tympanic plate fractures secondary to trauma to the mandible with no associated mandible or condylar fractures that were treated non-operatively. The functional outcomes were favorable at one year of follow-up.

摘要

鼓膜板骨折是一种罕见的损伤,存在外耳道狭窄的风险。这些损伤常与相邻骨骼如下颌骨、上颌骨和颞骨的骨折相关。孤立的双侧鼓膜骨骨折鲜有报道。对于这些损伤,最常提倡的治疗方法是手术治疗,以预防未来的耳道狭窄。非手术治疗的有效性鲜有报道。在本病例报告中,我们展示了一例罕见的损伤,即因下颌骨外伤导致的孤立双侧鼓膜板骨折,无相关下颌骨或髁突骨折,采用非手术治疗。随访一年时功能结果良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f3b/10981458/8e9876ba293d/cureus-0016-00000055243-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f3b/10981458/10b41109ba10/cureus-0016-00000055243-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f3b/10981458/525dfaea330b/cureus-0016-00000055243-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f3b/10981458/8e9876ba293d/cureus-0016-00000055243-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f3b/10981458/10b41109ba10/cureus-0016-00000055243-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f3b/10981458/525dfaea330b/cureus-0016-00000055243-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f3b/10981458/8e9876ba293d/cureus-0016-00000055243-i03.jpg

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本文引用的文献

1
Maxillofacial trauma patterns associated with external auditory canal fractures: Cone beam computed tomography analysis.与外耳道骨折相关的颌面创伤模式:锥形束计算机断层扫描分析
Dent Traumatol. 2017 Aug;33(4):276-280. doi: 10.1111/edt.12336. Epub 2017 Apr 27.
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Trauma patterns, symptoms, and complications associated with external auditory canal fractures.
与外耳道骨折相关的创伤模式、症状及并发症。
Laryngoscope. 2015 Jul;125(7):1579-82. doi: 10.1002/lary.25246. Epub 2015 Mar 16.
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Isolated tympanic plate fracture frequency and its relationship to mandibular trauma.孤立性鼓膜板骨折的发生率及其与下颌骨创伤的关系。
Can Assoc Radiol J. 2014 Nov;65(4):360-5. doi: 10.1016/j.carj.2014.02.004. Epub 2014 Aug 20.
5
Tympanic plate fractures in temporal bone trauma: prevalence and associated injuries.颞骨创伤中的鼓膜板骨折:患病率及相关损伤
AJNR Am J Neuroradiol. 2014 Jan;35(1):186-90. doi: 10.3174/ajnr.A3609. Epub 2013 Jul 4.
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Clin Radiol. 2000 Sep;55(9):714-6. doi: 10.1053/crad.2000.0505.
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Temporal bone fractures: otic capsule sparing versus otic capsule violating clinical and radiographic considerations.颞骨骨折:保留听骨囊与侵犯听骨囊的临床及影像学考量
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