원저

외상성 측두골 골절의 임상적 고찰

최세호1, 최윤석1, 전자호1, 권성우1, 손수준1,*
Se Ho Choe1, Youn Seok Choe1, Ja Ho Jun1, Seong Woo Kwon1, Soo Joon Sohn1,*
Author Information & Copyright
1대구파티마병원 이비인후과
1Department of Otolaryngology-Head & Neck Surgery, Fatima Hospital, Taegu, Korea
*교신저자: 손수준, 701-600 대구광역시 동구 신암동 302-1 대구파티마병원 이비인후과 전화: (053) 940-7350·전송: (053) 954-7417 E-mail: mdjk@hitel.net

© Copyright 2000 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Feb 01, 2000; Accepted: May 09, 2000

Published Online: May 31, 2020

ABSTRACT

Background and Objectives: Temporal bone fracture secondary to head trauma is often not evaluated initially in the emergency room, resulting in various otologic and neurologic sequelaes such as deafoess, dysequilibrium, and facial paralysis. This study analyzed the clinical findings of 83 temporal bone fractures to establish an optimal evaluation and management criteria to reduce such serious sequelaes. Materials and Methods: The medical records and radiographs of 83 patients with temporal bone fracture from February 1994 to August 1998 were analyzed retrospectively. Results: Of 83 temporal bone factures, hearing loss in 34 cases (41%), vertigo in 2 cases (2.4%), facial paresis/paralysis in 17 cases (20.5%), and cerebrospinal fluid otorrhea in 8 cases (9.6%) were noticed at initial evaluation. Of 34 cases of hearing loss, 14 returned to normal hearing with medical treatment. Of 17 facial paresis/paralysis, 6 were evaluated after the nerve had lost electric responsiveness and 3 of them presented poor facial nerve function after 1 year. All 8 cerebrospinal fluid otorrhea stopped spontaneously. Conclusion: All patients with head trauma should be evaluated otologically at initial visit to emergency room to prevent permanent facial weakness. (J Clinical Otolaryngol 2000;11:46–52)

Keywords: 측두골 골절
Keywords: Temporal bone fractures