Management of Temporal Bone Fractures

norosirurjiozel12-1-22kapak

Harun CANSIZa, Zülküf Burak ERDURb
aİstanbul University-Cerrahpaşa, Cerrahpasa Faculty of Medicine, Department of Otorhinolaryngology, İstanbul, Türkiye
bOta-Jinemed Hospital, Clinic of Otorhinolaryngology, İstanbul, Türkiye

Cansız H, Erdur ZB. Management of temporal bone fractures. In: Sanus GZ, Batıoğlu Karaaltın A, eds. Surgical Management of Facial Nerve Paralysis. 1st ed. Ankara: Türkiye Klinikleri; 2022. p.108-14.

Article Language: EN

ABSTRACT
The temporal bone has a close relationship with important anatomical structures. For this reason, temporal bone trauma may cause significant morbidity and even mortality. Temporal bone fractures have traditionally been divided into longitudinal and transverse fractures, depending on the relationship between the fracture line and the long axis of the petrous bone. However, a new scheme has been used to classify fractures as otic capsule-sparing and otic capsule-disrupting fractures according to whether they disrupt or spare the otic capsule. The main complications of temporal bone fractures include facial paralysis, sensorineural hearing loss (SNHL), conductive hearing loss, cerebrospinal fluid (CSF) fistula, ear canal stenosis, cholesteatoma formation, and vascular injuries. Otic capsule-disrupting fractures have a higher risk of facial paralysis and CSF fistula when compared with otic capsule-sparing fractures. Appropriate medical and surgical approaches should be used to prevent and manage complications.

Keywords: Temporal bone; facial nerve; hearing loss; cerebrospinal fluid otorrhea

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