Head injury with temporal bone fracture: one year review of case incidence, causes, clinical features and outcome
To investigate the case incidence, causes, clinical profile and outcome of temporal bone fracture complicating head trauma. A 1-year (2005) retrospective study of head injured patients presented to the Emergency Department, Hospital Tengku Ampuan Afzan, Kuantan, Pahang, Malaysia. Gender distribu...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Malaysian Medical Associations
2008
|
| Subjects: | |
| Online Access: | http://irep.iium.edu.my/4385/ http://irep.iium.edu.my/4385/ http://irep.iium.edu.my/4385/1/Head_Injury.pdf |
| Summary: | To investigate the case incidence, causes, clinical profile and outcome of temporal bone fracture complicating head
trauma. A 1-year (2005) retrospective study of head injured
patients presented to the Emergency Department, Hospital
Tengku Ampuan Afzan, Kuantan, Pahang, Malaysia. Gender
distribution, cause of injury, radiological findings and
otorhinolaryngological clinical presentations were analyzed.
Of 1309 patients, 61 patients were diagnosed to have
temporal bone fracture (4.7%). Majority of cases were
caused by motor vehicle accident (85.9%) and were
predominantly male (88.5%). The right temporal bone was
more frequently fractured (62.3%). Most (88.5%) were
petro-mastoid fractures. Sixty-seven percent of the petrous
fractures were longitudinal type. Clinical presentations
mostly reported were blood rhinorrhea (36%) and blood
otorrhea (32.7%). Other clinical presentations were hearing
loss (9.8%), cranial nerve palsy (8.2%), cerebrospinal fluid
oto-rhinorrhea (8.2%) and labyrinth concussion (6.5%). Four
out of five cranial nerve palsies were facial nerve. Out of the 61 cases, 16 (26.2%) had no clinical presentation at the time of Emergency Department consultation. Thirteen (21.3%) died due to severe head injury. The case incidence of temporal bone fracture in head injured patients in our centre is 4.7%. The petro-mastoid type fracture predominates. Proper early diagnosis and management minimize
complications. |
|---|