Algouneh Arash, Madou Edward, Gandhi Karan, Paradis Josee, Graham M Elise, Strychowsky Julie, Husein Murad, You Peng
Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada.
Department of Otolaryngology - Head and Neck Surgery, London Health Sciences Centre, London, Ontario, Canada.
J Laryngol Otol. 2025 Feb;139(2):113-117. doi: 10.1017/S0022215124001397. Epub 2024 Oct 21.
This study aimed to evaluate clinical characteristics, treatments and outcomes of paediatric temporal bone fractures at our institute.
A retrospective study of paediatric skull fractures confirmed by imaging from January 2010 to December 2022. Data on demographics, clinical presentations, injury mechanisms and complications were analysed, and fractures were categorised into otic capsule sparing (OCS) and violating (OCV).
Of 369 skull fracture cases, 88 (24 per cent) involved temporal bones, predominantly caused by falls and vehicle accidents. Common symptoms were loss of consciousness, hematoma, and hemotympanum, with complications like facial nerve injury and cerebrospinal fluid leaks in 3.4 per cent of cases. OCV fractures led to more severe complications, including hearing loss. Audiology showed 65 per cent without hearing impairment, while others had various degrees of loss.
Paediatric temporal bone fractures, particularly OCV types, pose significant challenges. Early detection and thorough management are vital, underscoring the need for consistent data collection and regular audiometric monitoring.
本研究旨在评估我院小儿颞骨骨折的临床特征、治疗方法及预后。
对2010年1月至2022年12月影像学确诊的小儿颅骨骨折进行回顾性研究。分析人口统计学、临床表现、损伤机制及并发症等数据，并将骨折分为耳囊未受累（OCS）和耳囊受累（OCV）两类。
在369例颅骨骨折病例中，88例（24%）累及颞骨，主要由跌倒和交通事故引起。常见症状为意识丧失、血肿和血鼓室，3.4%的病例出现面神经损伤和脑脊液漏等并发症。OCV骨折导致更严重的并发症，包括听力损失。听力学检查显示65%无听力障碍，其他患者有不同程度的听力损失。
小儿颞骨骨折，尤其是OCV型，带来重大挑战。早期发现和全面管理至关重要，强调了持续数据收集和定期听力监测的必要性。
