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

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
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