소아 측두골 골절의 원인과 동반손상

Objectives: The aim of this study is to evaluate the cause, otologic injuries, intracranial injuries and facial nerve injury associated with temporal bone fracture in children. Methods: Sixty-eight patients with temporal bone fracture who have been followed between 1999 and 2007 were retrospectively reviewed. All the patients- were less than 16 years old. The review was including clinical symptoms, radiologic assessments, audiometric tests, operation records and the results of electroneuronography. Results: The most common cause of fractures was motor vehicle accidents (35 case, 52%) followed by falls (20 cases, 29%). The causes of temporal bone fracture had unique feature according to the age. Facial paralysis was noted in 7 patients (10.3%), additional otologic injuries were noted in 20 patients (29.4%) and accompanied intracranial injuries were noted in 43 cases (63.2%). The facial paralysis of the child patients resolved well with medical and surgical treatments. Conclusions: The causes of pediatric temporal bone fracture are associated with the age. Pnemocephalus and ossicular disruption are the most common intracranial and otologic injuries in connection with pediatric temporal bone fracture. Facial nerve paralysis in relation to the temporal bone fracture of children shows good recovery results. (J Clinical Otolaryngol 2010;21:206–210)