Clinical Features of Fracture versus Concussion of the Temporal Bone after Head Trauma
Journal of Audiology & Otology
;
: 96-102, 2019.
Artículo
en Inglés
| WPRIM
| ID: wpr-764208
ABSTRACT
BACKGROUND AND OBJECTIVES:
Temporal bone fracture (TBF) is a common occurrence in cases of head trauma. Although the incidence of temporal bone concussion (TBC) has increased in cases of head trauma, it has not been extensively studied. We assessed the characteristics of TBF and TBC in patients with head trauma. SUBJECTS ANDMETHODS:
We conducted a retrospective review of 432 patients with head injury who visited our hospital between January 2011 and April 2016. Of these patients, 211 who met the inclusion criteria were included in the study. Their clinical characteristics, causes of injury, and hearing function were analyzed.RESULTS:
Among the 211 patients, 157 had TBFs and 54 had TBCs. Ear symptoms were more common among patients with TBF than among those with TBC. Car accidents were the most common cause of both TBF and TBC, but assault and sports injuries were more common among patients with TBC than among those with TBF. The occurrence of facial palsy in both cases of TBF and TBC. Hearing loss was observed among 35 patients with TBF and 11 patients with TBC. However, patients with TBF showed conductive hearing loss with an air-bone gap. Hearing function of these patients with TBF recovered with a reduced air-bone gap, but the patients with TBC showed little recovery.CONCLUSIONS:
Emergency physicians should focus more on temporal bone injury in patients with head trauma. Therefore, an early complete diagnostic battery, which includes high-resolution computed tomography, audiometric tests, neurologic examination, and vestibular tests, be performed in patients with head trauma.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Traumatismos en Atletas
/
Hueso Temporal
/
Incidencia
/
Estudios Retrospectivos
/
Oído
/
Urgencias Médicas
/
Parálisis Facial
/
Cabeza
/
Traumatismos Craneocerebrales
/
Audición
Tipo de estudio:
Estudio de incidencia
/
Estudio observacional
/
Estudio pronóstico
Límite:
Humanos
Idioma:
Inglés
Revista:
Journal of Audiology & Otology
Año:
2019
Tipo del documento:
Artículo
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