J Clin Otolaryngol Head Neck Surg 1995; 6(2):221-226

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.1995.6.2.221

원저

안면신경마비를 동반한 측두골 골절에 관한. 임상적 고찰

방진현1, 이광선1, 윤태현1, 추광철1
Clinical Study of Temporal Bone Fracture Associated with Facial Nerve Palsy
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

Journal of Clinical Otolaryngology Head and Neck Surgery
Department of Otolaryngology / Head and Neck Surgery, Pusan ​​National University Hospital, 179, Gudeok-ro, Seo-gu, Busan 49241, Korea
E-mail: jco.hns.1990@gmail.com

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37권 2호 Quiz 및 정답, 해설

정답 ③ ㄴ,ㄹ

ㄱ. 갑상선 고주파는 전극 주변에 고주파 전류가 흐르면서 조직내 이온들을 빠르게 진동시키고 
이렇게 발생한 마찰열(friction heat)을 통해 섭씨 60~100도씨의 열을 발생시켜 조직의 응고 괴사를 유도한다.

ㄴ. 생리식염수는 Na+,Cl-를 포함하여 전기전도성이 높아 5% DW 같은 비이온성 용액을 이용하는 것이 좋다.

ㄷ. 관련된 흔한 합병증은 통증, 혈종, 일시적 음성변화로 알려져 있다.

ㄹ. 갑상선 고주파절제술은 정상 갑상선조직을 최대한 보존하면서 양성결절의 부피감소를 유도하고, 
미세유두암의 완전 소실을 유도할 수 있는 치료이다.

 

* 당첨자 (5명)

권**    010-****-**85

고**    010-****-**75

서**    010-****-**72

이**    010-****-**61

장**    010-****-**64

 

응모해 주신 모든분들께 감사드립니다.

경품은 당첨자분들께 8.21(금)까지 개별 발송해 드리겠습니다.

 

임상이비인후과 편집위원회 


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