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July 1987

Unusual Complications of Temporal Bone Fractures

Author Affiliations

From the Departments of Otolaryngology—Head and Neck Surgery (Drs Ghorayeb and Hall and Mr Jones) and Radiology (Dr Yeakley), University of Texas Medical School, The University of Texas Health Science Center at Houston.

Arch Otolaryngol Head Neck Surg. 1987;113(7):749-753. doi:10.1001/archotol.1987.01860070063017

• Eighty-two temporal bone fractures were diagnosed in 75 patients with high-resolution computed tomographic scanning. Excluding six gunshot injuries, 55 (72%) of the fractures were oblique, 11 (15%) were longitudinal, and ten (13%) were transverse. Facial paresis or paralysis occurred in 45 patients (60%), hemotympanum occurred in 67 (89%), and cerebrospinal fluid otorrhea occurred in 19 (25%). Among 66 patients in whom audiometry was performed, 20 (30%) had conductive hearing loss, nine (14%) had sensorineural loss, and 36 (55%) had mixed hearing loss. Vestibular symptoms were present in 23 patients (30%). Other unusual complications of temporal bone fractures were observed: bilateral abducens paralysis, three patients (4%); unilateral abducens paralysis, two (2.67%); trigeminal paralysis, one (1.33%); and aseptic sigmoid sinus thrombosis, one (1.33%).

(Arch Otolaryngol Head Neck Surg 1987;113:749-753)

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