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Objectives: Temporal bone fractures are usually occur after traffic
accidents, fall down and severe stroke. The diagnosis and treatment of
these patients can delay because of association with life-threatening
head traumas that have priority in treatment. Morbidity may shorten or
permanent sequelaes may be prevented by early otologic examination and
high resolution computed tomography (CT) scans of the temporal bone for
determining the fracture at the patient who had head injury.
Methods: From the 120 patient, applied to the SB Tepecik Education
and Research Hospital Emergency with head injury and consulted to
neurosurgery and ENT, 22 patients with temporal bone fracture and who
were over come to the life threatening, included to study. All the
patients were followed at least 6 week. Patient could not tested with
audiometry in 10 days were excluded to study.
Results: At the examination of 22 patients, otorrhagia was defined
at all patients history. Also hemotympanium was determined at 13
patients, perforation at 5 and hearing loss at 12. The type of the
hearing loss of 9 patients was conductive, of 2 was neurosensorial, and
of one was mix type.
Conclusion: Otologic findings are essential at the diagnosis of the
temporal bone fracture, and diagnose must be corrected with high
resolution CT and hearing loss after temporal bone fracture must be
followed at least 2 month, by this time treatment should be planned. |
