Pediatric Temporal Bone Fractures: A 10-Year Experience

Pediatric Emergency Care
Sonya WexlerSri Kiran Chennupati

Abstract

The aim of the study was to compare the traditional and newer temporal bone fracture classification systems and their reliability in predicting serious outcomes of hearing loss and facial nerve (FN) injury. We queried the medical record database for hospital visits from 2002 to 2013 related to the search term temporal. A total of 1144 records were identified, and of these, 46 records with documented temporal bone fractures were reviewed for patient age, etiology and classification of the temporal bone fracture, FN examination, and hearing status. Of these records, radiology images were available for 38 patients and 40 fractures. Thirty-eight patients with accessible radiologic studies, aged 10 months to 16 years, were identified as having 40 temporal bone fractures for which the otolaryngology service was consulted. Twenty fractures (50.0%) were classified as longitudinal, 5 (12.5%) as transverse, and 15 (37.5%) as mixed. Using the otic capsule sparing (OCS)/violating nomenclature, 32 (80.0%) of fractures were classified as OCS, 2 (5.0%) otic capsule violating (OCV), and 6 (15.0%) could not be classified using this system. The otic capsule was involved in 1 (5%) of the longitudinal fractures, none of the transverse fractures, a...Continue Reading

References

Dec 1, 1994·Journal of Accident & Emergency Medicine·J W Nicol, A J Johnstone
Dec 21, 2006·Archives of Otolaryngology--head & Neck Surgery·Stewart C Little, Bradley W Kesser
Apr 26, 2008·Otolaryngologic Clinics of North America·Freedom JohnsonCliff A Megerian
Dec 19, 2013·The Laryngoscope·Joshua DunklebargerDavid Chi

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Citations

Aug 26, 2018·Journal of Paediatrics and Child Health·George PsillasJannis Constantinidis
Jan 14, 2021·Taiwan Journal of Ophthalmology·Vibha BaldevSuma Ganesh

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