Temporal Bone Fractures: A Review for the Oral and Maxillofacial Surgeon

Temporal bone fractures: evaluation of 77 patients and a management algorithm

“…[3,7] CHL generally resolves over time (usually within 3-4 weeks). [2] Pure hemotympanum generally resolves without sequelae within this time period as well. [2] Small tympanic membrane perforation also heals within 4-6 weeks.…”

“…[2] Pure hemotympanum generally resolves without sequelae within this time period as well. [2] Small tympanic membrane perforation also heals within 4-6 weeks. If CHL and tympanic membrane perforations persist after 3 months, then tympanoplasty and, if necessary, ossicular chain reconstruction should be performed.…”

“…[1] Skull fractures affect 23%-66% of patients with head trauma and approximately 4%-30% of head injuries involve a fracture of the cranial base, including 18%-75% of temporal bone involvement. [2,3] After a severe head injury, the maintenance of life is the most important concern. After providing stable vital functions like breathing, circulation and neurosurgical evaluation and evaluation of the chest and abdomen, it is appropriate for an otolaryngologist to evaluate the patient.…”

“…Some of them are longitudinal-transverse-oblique or mixed, petrous-non-petrous, and otic capsule sparing-otic capsule violating. [2,3,6,7] In the different series, statistical correlation between clinical findings and these classifications has been reported. [3,6] In our series, we also evaluated the distribution of clinical findings according to petrous-non-petrous and transverse-longitudinal-oblique-mixed classifications.…”

“…If CHL and tympanic membrane perforations persist after 3 months, then tympanoplasty and, if necessary, ossicular chain reconstruction should be performed. [2] The most common ossicular chain disruption is incudostapedial dislocation (11%-14%), followed by dislocation of the incudomallear joint. [3] In our series, 5 patients underwent tympanoplasty, and 2 of them underwent incudostapedial joint repair with bone cement.…”