颞骨枪伤：评估与处理的合理方法

Gunshot wounds of the temporal bone: a rational approach to evaluation and management.

作者信息

Shindo M L, Fetterman B L, Shih L, Maceri D R, Rice D H

机构信息

Department of Otolaryngology-Head and Neck Surgery, University of Southern California, Los Angeles, USA.

出版信息

Otolaryngol Head Neck Surg. 1995 Apr;112(4):533-9. doi: 10.1177/019459989511200405.

DOI:10.1177/019459989511200405

PMID:7700658

Abstract

Gunshot injuries of the temporal bone are uncommon but are being seen more frequently with the increasing incidence of violent crimes and use of firearms. A retrospective analysis of 43 consecutive patients treated at our institution with this injury was undertaken to determine the clinical symptoms, associated injuries, and treatment outcome. This is the largest series from a single institution treated by a single group during a brief period of time. Most of these patients had injury to various structures within and around the temporal bone, including hearing loss (29), intracranial injury (23), facial nerve injury (22), vascular injury (14), and mandible fracture (6). Ocular trauma and paralysis of cranial nerves V and IX, X, XI, and XII were rare occurrences. A rational approach to the evaluation and management of these injuries will be discussed in detail to optimize outcome.

摘要

颞骨枪伤并不常见，但随着暴力犯罪和枪支使用的增加，其发生率正逐渐上升。我们对本机构连续收治的43例此类损伤患者进行了回顾性分析，以确定其临床症状、合并损伤及治疗结果。这是短期内由单一团队在单一机构治疗的最大病例系列。这些患者大多有颞骨内部及周围各种结构的损伤，包括听力丧失（29例）、颅内损伤（23例）、面神经损伤（22例）、血管损伤（14例）及下颌骨骨折（6例）。眼外伤以及第V、IX、X、XI和XII对脑神经麻痹则较为罕见。本文将详细讨论评估和处理这些损伤的合理方法，以优化治疗结果。