Management of Temporal Bone Trauma Craniomaxillofacial trauma ...

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Hearing loss Injury site Fracture type Conductive conducting repaired at any time system distal to the cochlea Mixed Both Sensorineural Internal ear ( Poor prognosis, not influenced by treatment cochlea and CN VIII) Longitudinal fractures <strong>of</strong> the temporal bone or injuries with no identfiable fracture Transverse fracture Hearing loss type: Prognostically important but does not influence the timing <strong>of</strong> surgery. CRANIOMAXILLOFACIAL TRAUMA & RECONSTRUCTION/VOLUME 3, NUMBER 2 2010
Otic capsule-based classification Otic capsule: the bone that houses the cochlea and the semicircular canals. More clinically relevant. Cummings Otolaryngology: Head & Neck Surgery, 5th ed. Chap.145 Clinical Otolaryngology, 31, 287–291
Page 1 and 2: Journal Review: Temporal bone traum
Page 3 and 4: Complications Intracranial hemorrh
Page 5 and 6: Anatomy Each temporal bone is divi
Page 8 and 9: Symptom Hearing loss: immediately
Page 10 and 11: Sign Hemotympanum With history of
Page 12 and 13: http://www.audiologyonline.com/arti
Page 14 and 15: RADIOGRAPHIC EVALUATION High-resol
Page 18 and 19: Otic sparing fracture Otic capsule-
Page 20 and 21: Emergent intervention Obvious brai
Page 22 and 23: Transmastoid approach Only for les
Page 24 and 25: Transmastoid-translabyrinthine appr
Page 26 and 27: Management of traumatic facial para
Page 28 and 29: CSF leakage- surgical intervention
Page 30 and 31: Management- hearing Conductive hea
Page 32 and 33: Management Dysequilibrium usually
Page 34: Thanks for your attention !

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