Cannon C R, Jahrsdoerfer R A
Arch Otolaryngol. 1983 May;109(5):285-8. doi: 10.1001/archotol.1983.00800190007002.
Of 1,300 consecutive head-injured patients admitted to the hospital over a 20-month time period, 118 were found to have skull fractures, of which 22% involved the temporal bone. These figures form part of a larger study of 90 temporal bone fractures treated over a six-year period from 1975 through 1981. The most common cause of a temporal bone fracture was a motor vehicle accident occurring in 40/90 (44%) patients. Pertinent physical findings, occurring alone or in combination, were a hemotympanum, bleeding from the ear canal, tympanic membrane perforation, facial paralysis, and CSF otorrhea. The diagnosis of temporal bone fractures is best made clinically and radiographically. The early care of temporal bone fractures is directed toward the treatment of CSF otorrhea and immediate onset facial paralysis. The delayed care is primarily concerned with hearing rehabilitation.
在20个月的时间里，连续有1300名头部受伤患者入院，其中118人被发现有颅骨骨折，其中22%累及颞骨。这些数据是1975年至1981年六年期间对90例颞骨骨折进行的一项更大规模研究的一部分。颞骨骨折最常见的原因是机动车事故，在90例患者中有40例（44%）发生。单独或合并出现的相关体格检查结果有鼓室积血、耳道出血、鼓膜穿孔、面瘫和脑脊液耳漏。颞骨骨折的诊断最好通过临床和影像学检查来做出。颞骨骨折的早期治疗针对脑脊液耳漏和立即出现的面瘫。延迟治疗主要关注听力康复。
