Paediatric temporal bone fractures: a single centre experience.

IF 1.1 4区医学 Q3 OTORHINOLARYNGOLOGY

Journal of Laryngology and Otology Pub Date : 2025-02-01 Epub Date: 2024-10-21 DOI:10.1017/S0022215124001397

Arash Algouneh, Edward Madou, Karan Gandhi, Josee Paradis, M Elise Graham, Julie Strychowsky, Murad Husein, Peng You

{"title":"Paediatric temporal bone fractures: a single centre experience.","authors":"Arash Algouneh, Edward Madou, Karan Gandhi, Josee Paradis, M Elise Graham, Julie Strychowsky, Murad Husein, Peng You","doi":"10.1017/S0022215124001397","DOIUrl":null,"url":null,"abstract":"Objective: This study aimed to evaluate clinical characteristics, treatments and outcomes of paediatric temporal bone fractures at our institute.Methods: A retrospective study of paediatric skull fractures confirmed by imaging from January 2010 to December 2022. Data on demographics, clinical presentations, injury mechanisms and complications were analysed, and fractures were categorised into otic capsule sparing (OCS) and violating (OCV).Results: Of 369 skull fracture cases, 88 (24 per cent) involved temporal bones, predominantly caused by falls and vehicle accidents. Common symptoms were loss of consciousness, hematoma, and hemotympanum, with complications like facial nerve injury and cerebrospinal fluid leaks in 3.4 per cent of cases. OCV fractures led to more severe complications, including hearing loss. Audiology showed 65 per cent without hearing impairment, while others had various degrees of loss.Conclusion: Paediatric temporal bone fractures, particularly OCV types, pose significant challenges. Early detection and thorough management are vital, underscoring the need for consistent data collection and regular audiometric monitoring.","PeriodicalId":16293,"journal":{"name":"Journal of Laryngology and Otology","volume":" ","pages":"113-117"},"PeriodicalIF":1.1000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Laryngology and Otology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1017/S0022215124001397","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/10/21 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: This study aimed to evaluate clinical characteristics, treatments and outcomes of paediatric temporal bone fractures at our institute.

Methods: A retrospective study of paediatric skull fractures confirmed by imaging from January 2010 to December 2022. Data on demographics, clinical presentations, injury mechanisms and complications were analysed, and fractures were categorised into otic capsule sparing (OCS) and violating (OCV).

Results: Of 369 skull fracture cases, 88 (24 per cent) involved temporal bones, predominantly caused by falls and vehicle accidents. Common symptoms were loss of consciousness, hematoma, and hemotympanum, with complications like facial nerve injury and cerebrospinal fluid leaks in 3.4 per cent of cases. OCV fractures led to more severe complications, including hearing loss. Audiology showed 65 per cent without hearing impairment, while others had various degrees of loss.

Conclusion: Paediatric temporal bone fractures, particularly OCV types, pose significant challenges. Early detection and thorough management are vital, underscoring the need for consistent data collection and regular audiometric monitoring.

查看原文本刊更多论文

儿童颞骨骨折：单中心经验

目的：本研究旨在评价我院小儿颞骨骨折的临床特点、治疗方法及预后。方法：对2010年1月至2022年12月经影像学证实的儿童颅骨骨折进行回顾性研究。对人口统计学数据、临床表现、损伤机制和并发症进行分析，并将骨折分为保留型（OCS）和侵犯型（OCV）。结果：369例颅骨骨折中，88例（24%）涉及颞骨，主要由跌倒和交通事故引起。常见症状为意识丧失、血肿和鼓膜出血，3.4%的病例伴有面神经损伤和脑脊液漏等并发症。OCV骨折会导致更严重的并发症，包括听力损失。听力学显示，65%的人没有听力障碍，而其他人则有不同程度的听力损失。结论：儿童颞骨骨折，特别是OCV型，具有重大的挑战。早期发现和彻底管理至关重要，强调需要持续收集数据和定期进行听力监测。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Laryngology and Otology 医学-耳鼻喉科学

CiteScore

3.20

自引率

11.80%

发文量

593

审稿时长

3-6 weeks

期刊介绍： The Journal of Laryngology & Otology (JLO) is a leading, monthly journal containing original scientific articles and clinical records in otology, rhinology, laryngology and related specialties. Founded in 1887, JLO is absorbing reading for ENT specialists and trainees. The journal has an international outlook with contributions from around the world, relevant to all specialists in this area regardless of the country in which they practise. JLO contains main articles (original, review and historical), case reports and short reports as well as radiology, pathology or oncology in focus, a selection of abstracts, book reviews, letters to the editor, general notes and calendar, operative surgery techniques, and occasional supplements. It is fully illustrated and has become a definitive reference source in this fast-moving subject area. Published monthly an annual subscription is excellent value for money. Included in the subscription is access to the JLO interactive web site with searchable abstract database of the journal archive back to 1887.