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Clinical features and radiological evaluation of otic capsule sparing temporal bone fractures

Published online by Cambridge University Press:  26 January 2017

S W Song ,
B C Jun  and
H Kim
S W Song
Affiliation:
Department of Radiology, College of Medicine, Catholic University of Korea, Seoul, Korea
B C Jun*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, College of Medicine, Catholic University of Korea, Seoul, Korea
H Kim
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, College of Medicine, Catholic University of Korea, Seoul, Korea
*
Address for correspondence: Dr Beom Cho Jun, Department of Otolaryngology – Head and Neck Surgery, Catholic University of Korea – Uijeongbu, St Mary's Hospital, #65-1 Geumo-Dong, Uijeongbu City, Gyeonggi-Do, 480-717, Korea Fax: +82 31 847 0038 E-mail: otojun@catholic.ac.kr
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Abstract

Objective:

To evaluate the clinical and radiological aspects of otic capsule sparing temporal bone fractures.

Methods:

Using medical records, 188 temporal bones of 173 patients with otic capsule sparing temporal bone fractures were evaluated. Otoscopic findings and symptoms, facial paralysis, and hearing loss were assessed.

Results:

Using regional analysis, 7 fractures were classified as type I, 85 as type II, 169 as type III and 114 as type IV. Fourteen of the 17 facial paralysis cases improved to House–Brackmann grade II or lower at an average of 57.6 days after the initial evaluation. Thirty-one patients underwent initial and follow-up pure tone audiometry examinations. The air–bone gap closed significantly from 27.2 dB at an average of 21.8 days post-trauma to 19.6 dB at an average of 79.9 days post-trauma, without the need for surgical intervention.

Conclusion:

Initial conservative treatment for facial paralysis or conductive hearing loss is possible in otic capsule sparing fracture cases after careful evaluation of the patient.

Keywords

Temporal BoneFracturesFacial ParalysisConductive Hearing Loss
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 3 , March 2017 , pp. 209 - 214
Copyright
Copyright © JLO (1984) Limited 2017 

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