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Year : 2001  |  Volume : 3  |  Issue : 1  |  Page : 1-5

Otological complications of temporal bone fractures

1 Consultant ENT Surgeon, Department of Otolaryngology, Assir Central Hospital, Abha, Saudi Arabia
2 Associate Professor, King Khalid University, Abha, Saudi Arabia
3 Assistant Professor of Otolaryngology, King Khalid University, Abha, Saudi Arabia

Correspondence Address:
FRCS (Ed) Yinka Fawehinmi
Department of Otolaryngology, Assir Central Hospital, P.O. Box 34, Abha
Saudi Arabia
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1319-8491.289349

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Objective: The purpose of this study was to find out the percentage of patients who had clinical and radiological evidence of temporal bone involvement in basal skull facture.The study also looked at the incidence of otological symptoms and signs reported in the case files during admission and review subsequent patients management. Methods: The case files of 400 patients admitted to Assir Central Hospital with basal skull fractures were retrospectively reviewed. Only 40 met our selection criteria of a clear evidence of basal skull fracture with temporal bone involvement using plain x-ray and computerized axial tomographic scan. Results: The result showed that the parietal area was the commonest site of impact,[40%], followed by the frontal area [12%], the temporal site [12%], and the occipital [4%]. About three-quarters of the patients were bleeding from the external auditory meatus when first seen and 12% had cerebrospinal fluid otorrhoea. All the patients were referred to ear, nose, and throat specialist within 24hours of admission. Conclusion: We propose that all patients with head injuries with one or more symptoms and signs characteristics of temporal bone fracture should automatically have otological assessment at the time of presentation. We also advocate thorough history, physical examination, computerized axial tomographic scan and audiogram for all these patients as early as practicable.

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