Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
원저

소아 측두골 골절의 원인과 동반손상

권오진1, 주연희1, 안성기1,2, 허동구1,2,*
Oh Jin Kwon1, Youn Hee Ju1, Seong-Ki Ahn1,2, Dong Gu Hur1,2,*
1경상대학교 의학전문대학원 이비인후과학교실
2건강과학연구원
1Department of Otolaryngology-Head and Neck Surgery, Gyeongsang National University School of Medicine, Jinju, Korea
2Institute of Health Science, Gyeongsang National University School of Medicine, Jinju, Korea
*교신저자: 허동구, 660-702 경남 진주시 칠암동 90 경상대학교 의학전문대학원 이비인후과학교실 전화 :(055) 750-8852·전송:(055) 759-0613 E-mail: mdhur@hanmail.net

© Copyright 2010 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: Aug 25, 2010; Revised: Sep 14, 2010; Accepted: Oct 19, 2010

Published Online: May 31, 2020

ABSTRACT

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)

Keywords: 소아; 측두골; 골절
Keywords: Children; Temporal bone; Fracture