Presentation
Clinical presentations mostly reported were blood rhinorrhea (36%) and blood otorrhea (32.7%). [ncbi.nlm.nih.gov]
Entire Body System
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Loss of Hair
Histopathological studies of temporal bone fractures reveal a variety of injuries such as complete destruction of the organ of Corti and stria vascularis, loss of hair and ganglion cells, hemorrhage into the cochlear duct, and labyrinthitis ossificans [academic.oup.com]
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Fishing
We present an obscure case of a man who was struck in the ear by a flying fish while wading in the sea with resulting temporal bone fracture, sudden deafness, vertigo, cerebrospinal fluid otorrhoea, and pneumocephalus. [ncbi.nlm.nih.gov]
Ears
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Referred Otalgia
Referred otalgia is common. Traumatic fracture of an ossified styloid and stylohyoid ligament can cause pressure on the external or internal carotid artery and pain may be referred to the cheek or eye, producing atypical pain. [emedicine.medscape.com]
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Fluctuating Hearing Loss
This diagnosis is considered when fluctuating hearing loss and vertigo are present in the near posttraumatic period. A fistula test in the ear canal should not be performed in the acute setting to avoid further trauma or complications. [emedicine.medscape.com]
Eyes
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Chemosis
It is suspected by a pulsatile or nonpulsatile exophthalmus, chemosis, and a bruit detected in the affected area. [30, 42] Sigmoid sinus thrombosis This condition occurs but is rare. Sigmoid sinus thrombosis is usually aseptic and nonsymptomatic. [emedicine.medscape.com]
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Foreign Body Sensation
It consists of pain in the throat with foreign body sensation associated with difficult and painful swallowing. Referred otalgia is common. [emedicine.medscape.com]
Psychiatrical
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Suggestibility
We suggest that in patients presenting with facial nerve paralysis secondary to blunt trauma, without an associated temporal bone fracture, high-resolution magnetic resonance imaging is recommended to evaluate internal auditory canal discontinuity of [ncbi.nlm.nih.gov]
The presence of nystagmus is suggestive of vestibular trauma. Examination may reveal a perforated tympanic membrane and/or laceration of the ear canal. If the ear drum is intact, blood may be seen behind it (hemotympanum). [www2.aofoundation.org]
Temporal bone fractures are suggested by Battle sign (postauricular ecchymosis) Bleeding from the ear Bleeding may come from the middle ear (hemotympanum) through a ruptured tympanic membrane or from a fracture line in the ear canal (see Traumatic Perforation [merckmanuals.com]
Temporal bone fracture is suggested by Battle sign (post-auricular ecchymosis) and bleeding from the external auditory canal. [radiopaedia.org]
Neurologic
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Vertigo
We present an obscure case of a man who was struck in the ear by a flying fish while wading in the sea with resulting temporal bone fracture, sudden deafness, vertigo, cerebrospinal fluid otorrhoea, and pneumocephalus. [ncbi.nlm.nih.gov]
In both benign paroxysmal positional vertigo and central postural vertigo, the spontaneous nystagmus and vertigo usually resolve over 3-6 months and the remaining symptoms by 10-12 months; however, these symptoms may persist in elderly patients. [emedicine.medscape.com]
Sensorineural hearing loss /- vertigo after a temporal bone fracture implies traumatic audio/vestibular failure. The vertigo generally improves as the brain adapts, but hearing loss is likely to be persistent. [entsho.com]
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Dizziness
All patients complained of hearing loss and dizziness. Hearing in most patients (83.3%) did not improve, whereas dizziness improved in 91.7% of patients. [ncbi.nlm.nih.gov]
He complained of non-whirling type dizziness and right sided hearing impairment. Computed dynamic postulography showed a vestibular pattern; however, nystagmus was absent. [austinpublishinggroup.com]
Complications evaluated included facial nerve paresis or paralysis, SNHL, CHL, dizziness or balance dysfunction, and CSF leakage. The diagnosis of dizziness or balance dysfunction was made on patient self-reporting. [jamanetwork.com]
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Neurologic Manifestation
A 49-year-old man presented with sudden, bilateral deafness and whirling vertigo, without any other neurological manifestations. Temporal bone computed tomography clearly demonstrated the presence of air in the vestibule and cochlea on both sides. [ncbi.nlm.nih.gov]
Workup
This article reviews the current state of temporal bone fracture evaluation and management with special attention to mechanisms of injury, clinical presentations and emergency evaluation, and diagnostic workup, including the evolution of radiographic [ncbi.nlm.nih.gov]
X-Ray
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Sinus Opacification
However the resolution of skull CT be inappropriate for temporal fracture diagnosis, it provides lesion evidences, when there s opacification or close to it, local pneumocephalus, sphenoid sinus opacification, air in the glenoid cavity (2-4-7-8). [arquivosdeorl.org.br]
Microbiology
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Streptococcus Pneumoniae
Brodie and Thompson found a 20% incidence of meningitis with concurrent infection and 3% incidence in the absence of concurrent infection. [32] Streptococcus pneumoniae and Haemophilus influenzae are the most common infecting organisms. [emedicine.medscape.com]
Treatment
OBJECTIVE: To explore the characteristics and treatment of temporal bone fractures and injuries in the medial-inner ear. [ncbi.nlm.nih.gov]
Prognosis
Prognosis : good. Pathogenesis Etiology Trauma. Pathophysiology Initially may cause little problem. Often go undiagnosed in absence of other trauma in area. With time, osseous callus forms causing progressive dimminution of jaw movement. [vetstream.com]
These are discussed in detail in separate articles: longitudinal fractures transverse fractures mixed fractures Treatment and prognosis Treatment is based on managing facial nerve injury, hearing loss, vestibular dysfunction, and CSF leakage. [radiopaedia.org]
Etiology
We present a novel theory for the etiology of pneumolabyrinth in a trauma patient without an otic capsule fracture: passage of intrathecal air into the labyrinth. [ncbi.nlm.nih.gov]
Characteristics of reported cases of sympathetic hearing loss Author Age Baseline/preop Etiology threshold * Harris et al, (1) 30 15 Exc VS (TL) 1985 55 8 Exc VS (TL) 36 0 Exc VS (MF) 34 2 Exc VS (TL) 64 48 Exc VS (TL) Schindler and 44 NR Trauma Niparko [medical-dictionary.thefreedictionary.com]
Pathogenesis Etiology Trauma. Pathophysiology Initially may cause little problem. Often go undiagnosed in absence of other trauma in area. With time, osseous callus forms causing progressive dimminution of jaw movement. [vetstream.com]
Epidemiology
LEVEL OF EVIDENCE: Epidemiologic study, Level III. Copyright 2016 Elsevier Ltd. All rights reserved. [ncbi.nlm.nih.gov]
Epidemiology Longitudinal fractures represent the majority (70-90%) of all petrous temporal bone fractures. Periauricular swelling and retroauricular ecchymosis ( Battle sign ) are common, and almost all have otorrhagia. [radiopaedia.org]
Pathophysiology
Variables included type and severity of hearing loss, as well as pathophysiology of hearing loss. RESULTS: There were 13 studies with 773 patients that met study criteria. [ncbi.nlm.nih.gov]
Abstract Traumatic injury to the temporal bone can lead to significant morbidity or mortality and knowledge of the pertinent anatomy, pathophysiology of injury, and appropriate management strategies is critical for successful recovery and rehabilitation [thieme-connect.com]
Pathophysiology Initially may cause little problem. Often go undiagnosed in absence of other trauma in area. With time, osseous callus forms causing progressive dimminution of jaw movement. [vetstream.com]
A combination of both central and peripheral causes are highly possible in the pathophysiology of vertigo after head and temporal bone trauma. Vestibular rehabilitation or canal repositioning may be of value, in particular in BPPV. [emedicine.medscape.com]
Prevention
CONCLUSIONS: To minimize or prevent the sequelae of TBF, accurate radiologic evaluation is necessary as soon as possible after injury. [ncbi.nlm.nih.gov]
Página 310 - A randomized trial comparing ticlopidine hydrochloride with aspirin for the prevention of stroke in high-risk patients. [books.google.es]
With high resolution CT of temporal bones there is a detailing of fracture line and its extensions, preventing and treating precocious complications and information of surgical planning. [arquivosdeorl.org.br]
How Do I Prevent a Head Injury? Falls are the number one cause of head injuries. Some, like toddlers falling when learning to walk, is unavoidable. Others may be preventable, especially in the elderly. [emedicinehealth.com]