원저

안면신경마비를 동반한 측두골 골절에 관한. 임상적 고찰

방진현1, 이광선1, 윤태현1, 추광철1
Jin-Hyun Bang1, Kwang Sun Lee1, Tae Hyun Yoon1, Kwang Choi Chu1
Author Information & Copyright
1울산대학교 의과대학 서울중앙병원 이비인후과학교실
1Department of Otolaryngology, Asan Medical Center, University of Ulsan, College of Medicine

© Copyright 1995 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.

Published Online: May 31, 2020

ABSTRACT

Temporal bone fractures after head trauma are divided into three groups; longitudinal fracture, transverse fracture and mixed fracture. The most common symptoms are hearing impairment, bloody otorrhea, loss of consciousness and facial nerve palsy. The early care of temporal bone fracture involves facial nerve palsy.

The authors report the clinical study of 6 cases of temporal bone fractures associated with facial nerve palsy.

  1. Five cases were unilateral and one case was bilateral.

  2. In 5 unilateral cases, 4 cases showed conductive hearing loss and 1 case was total deaf, and bilateral case showed conductive and sensorineuralhearing losses.

  3. In 5 unilateral cases, 1 case showed longitudinal fracture, 3 cases were transverse and 1 case was mixed, and bilateral case showed longitudinal fractures.

  4. In 5 cases, facial palsy occurred immediately after the trauma and 1 case showed delayed onset.

  5. The degree of facial palsy was grade III in 1 case, grade IV in 4 cases involving bilateral case, and grade V in 1 case.

  6. Nerve decompressions were performed in 3 cases including a bilateral case, hypoglossal-facial crossover in 1 case, and in 2 cases medical therapy was done.

  7. There were complete recoveries in 2 cases, partial recoveries in 2 cases, and no change in 1 case.

Keywords: Temporal bone fracture; Facial nerve palsy


임상이비인후과 학술상 공지


안녕하십니까.

대한이비인후과학회 부산울산경남지부회에서는

회원분들의 학술 연구를 장려하는 의미에서 

2022년도부터 학술상을 신설해 수여하고자 합니다. 

 

임상이비인후과 학술상

1. 2022년에 본 학술지에 게재된 논문중

인용횟수 및 학술적 가치가 높은 연구주제에 대해

편집위원회에서 선정 후 수여

2. 수상자는 논문의 교신저자로 함

3. 시상 - 상장 및 상금 50만원

4. 시상일 - 추후 공지

5. 편집위원회에서 선정하므로 별도의 신청 필요 없음

 

- 관련문의 

 임상이비인후과 편집위원회  jco.hns.1990@gmail.com


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