Temporal bone fractures: sequelae and their impact on quality of life

Montava, Marion; Mancini, Julien; Masson, Catherine; Collin, M.; Chaumoître, Kathia; Lavieille, Jean‐Pierre

doi:10.1016/j.amjoto.2014.12.011

Cited by 18 publications

(11 citation statements)

References 27 publications

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“…Third, among the 14 patients who followed up and had no radiographically evident otic capsule disruption, the magnitude of conductive loss was similar to the three patients with known otic capsule disruption, and also with previously reported values in the literature for traumatic dissociation of the ossicles 12. If indeed patients with ossicular chain disruption are being missed for treatment, it would represent a significant problem as temporal bone injuries have been demonstrated to have significant detrimental effects on functional status and quality of life 1314…”

Section: Discussionsupporting

confidence: 80%

“…12 If indeed patients with ossicular chain disruption are being missed for treatment, it would represent a significant problem as temporal bone injuries have been demonstrated to have significant detrimental effects on functional status and quality of life. 13,14 Our study was not able to show that any particular system of characterizing temporal bone fractures is predictive of long-term hearing loss. However, longitudinal fractures were more frequently associated with ossicular chain disruption (p < 0.01) than oblique or mixed-type fractures.…”

Section: Discussioncontrasting

confidence: 56%

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Hearing and Mortality Outcomes following Temporal Bone Fractures

Honeybrook

Patki

Chapurin

et al. 2017

Craniomaxillofacial Trauma & Reconstruction

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The aim of this article is to determine hearing and mortality outcomes following temporal bone fractures. Retrospective chart review was performed of 152 patients diagnosed with a temporal bone fracture presenting to the emergency room at a tertiary care referral center over a 10-year period. Utilizing Patients' previously obtained temporal bone computed tomographic scans and audiograms, fractures were classified based on several classification schemes. Correlations between fracture patterns, mortality, and hearing outcomes were analyzed using tests. Ossicular chain disruption was seen in 11.8% of patients, and otic capsule violation was seen in 5.9%; 22.7% of patients presented for audiologic follow-up. Seventeen patients with conductive hearing loss had air-bone gaps of 26 ± 7.5 dB (500 Hz), 27 ± 6.8 dB (1,000 Hz), 18 ± 6.2 dB (2,000 Hz), and 32 ± 7.7 dB (4,000 Hz). Two cases of profound sensorineural hearing loss were associated with otic capsule violation. No fracture classification scheme was predictive of hearing loss, although longitudinal fractures were statistically associated with ossicular chain disruption ( < 0.01). Temporal bone fractures in patients older than 60 years carried a relative risk of death of 3.15 compared with those younger than 60 years. The average magnitude of conductive hearing loss resulting from temporal bone fracture ranged from 18 to 32 dB in this cohort. Classification of fracture type was not predictive of hearing loss, despite the statistical association between ossicular chain disruption and longitudinal fractures. This finding may be due to the low follow-up rates of this patient population. Physicians should make a concerted effort to ensure that audiological monitoring is executed to prevent and manage long-term hearing impairment.

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Section: Discussionsupporting

confidence: 80%

Section: Discussioncontrasting

confidence: 56%

Hearing and Mortality Outcomes following Temporal Bone Fractures

Honeybrook

Patki

Chapurin

et al. 2017

Craniomaxillofacial Trauma & Reconstruction

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“…It is reported that 9%–20 % of temporal bone fractures are bilateral [ 3 ]. The facial nerve is affected in 7–10 % of temporal bone fractures [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

“…Treatment protocols are generally based on onset of facial weakness (immediate or delayed) and extent of facial weakness [ 2 ]. Facial nerve surgery is indicated in the event of a combination of clinical findings (immediate complete facial paralysis), tomodensitometric findings (facial canal injury), and electrophysiological factors (denervation greater than 90 %) [ 3 ].In case of incomplete paralysis and presence of voluntary polyphasic reinnervation potentials on EMG, a conservative approach can be adopted using steroids and eye care [ 2 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

Simultaneous bilateral traumatic facial palsy with different treatment protocols

Ardhaoui

Halily

Abada

et al. 2020

International Journal of Surgery Case Reports

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Highlights Bilateral simultaneous facial palsy is a very rare condition. Its incidence is one per 5 000 000 per year. Treatment protocols are generally based on onset of facial weakness (immediate or delayed) and extent of facial weakness. Surgical approach remains controversial; transmastoid, middle fossa craniotomy or a combination of both. It is important to discuss timing and expectations with the patient, keeping in mind that the return of maximal facial nerve function may take up to 12 months.

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“…There are several complications associated with temporal bone fracture, including hearing loss, facial nerve paralysis [10], and cerebrospinal fluid otorrhea [1]; hearing loss is among the most commonly encountered symptoms of temporal bone fracture [11]. …”

Section: Discussionmentioning

confidence: 99%

Audiologic Patterns of Otic Capsule Preserving Temporal Bone Fracture: Effects of the Affected Subsites

Kim

et al. 2016

Clin Exp Otorhinolaryngol

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Objectives.This study was aimed to assess the relationship between the type of temporal bone area involved and conductive hearing loss.Methods.We enrolled 97 patients who visited the otolaryngology clinics of Seoul National University Hospital or Boramae Medical Center, Seoul Metropolitan Government-Seoul National University with temporal bone fracture between January 2004 and January 2014. Audiometric parameters, including initial and improved air-bone (AB) conduction gap values, were reviewed in accordance with the temporal bone computed tomography (external auditory canal [EAC], middle ear [ME], mastoid [M], and ossicle [O]).Results.Patients with ossicular chain involvement exhibited a larger AB gap compared to those with no ossicular chain involvement at 250, 1,000, 2,000, and 4,000 Hz. Among the groups without ossicular chain involvement, the initial AB gap was largest in patients with EAC+ME+M involvement, followed by the ME+M and M-only involvement groups. The greatest improvement in the AB gap was observed in the EAC+ME+M group followed by the ME+M and M-only groups, irrespective of ossicular chain involvement. Improvements in AB gap values were smallest at 2,000 Hz.Conclusion.Conductive hearing loss pattern differed according to the temporal bone area involved. Therefore, areas such as the hematoma and hemotympanum, as well as the fracture line of the temporal bone area, must be evaluated to predict audiologic patterns with otic capsule preserving temporal bone fracture.

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Temporal bone fractures: sequelae and their impact on quality of life

Cited by 18 publications

References 27 publications

Hearing and Mortality Outcomes following Temporal Bone Fractures

Hearing and Mortality Outcomes following Temporal Bone Fractures

Simultaneous bilateral traumatic facial palsy with different treatment protocols

Audiologic Patterns of Otic Capsule Preserving Temporal Bone Fracture: Effects of the Affected Subsites

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