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Traumatic Lesions of the Temporal Bone

  • Peter D. Phelps
  • Glyn A. S. Lloyd

Abstract

The head is affected in almost 75% of road accidents and if severely injured, the ear is the most frequently damaged sensory organ. Until recently, it was thought that nothing could be done to correct the hearing loss caused by skull traumas. Obviously, hearing loss due to petrous fracture cannot be corrected and radiological examination is concerned with such factors as damage to the facial nerve and the site of a CSF fistula. It is now realised, however, that traumatic hearing loss is often due to disruption of the ossicular chain, and although radiological demonstration may be difficult such an examination can greatly assist reconstruction. Ossicular discontinuity should always be considered where conductive deafness persists following head injury.

Keywords

Facial Nerve Tympanic Membrane Ossicular Chain Facial Nerve Injury Traumatic Lesion 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. Ballantyne JC (1966) Traumatic conductive deafness. Proc R Soc Med 59: 535–542PubMedGoogle Scholar
  2. Cannon CR, Jahrsdoerfer RA (1983) Temporal bone fractures. Vrch Otolaryngol 109: 285–288CrossRefGoogle Scholar
  3. Coker NJ, Kendall KA, Jenkins HA, Alford AB (1987) Traumatic intratemporal bone injury: management rationale for preservation of function. Otolaryngology—Head and Neck Surgery 97: 262–269PubMedGoogle Scholar
  4. Fisch U (1974) Facial paralysis in fractures of the petrous bone. Laryngoscope 84: 2141–2154PubMedCrossRefGoogle Scholar
  5. Harwood-Nash DC (1970) Fractures of the petrous and tympanic parts of the temporal bone in children: a tomographic study of 35 cases. Am J Roentgenol 110: 598–607Google Scholar
  6. Hough JVD (1958) Malformations and anatomical variations seen in the middle ear during the operation for mobilisation of the stapes. Laryngoscope 68: 1337–1379PubMedCrossRefGoogle Scholar
  7. Hough JVD (1970) Surgical aspects of temporal bone fractures. Proc R Soc Med 63: 245–252PubMedGoogle Scholar
  8. Kelemann G (1944) Fractures of the temporal bone. Arch Otolaryngol 40: 333–373CrossRefGoogle Scholar
  9. McHugh HE (1963) Facial paralysis in birth injury and skull fractures. Arch Otolaryngol 87: 443–455Google Scholar
  10. Potter G (1969) Trauma to the temporal bone. Seminars Roentgenol 4: 143–150CrossRefGoogle Scholar
  11. Qaiyumi SAA, Hendrickz PH, Lasig R, Battmar RD, Bachor E (1988) The value of conventional X-ray tomography in cochlear implant patients. XI International Congress of Head and Neck Radiology, Uppsala p. 62Google Scholar
  12. Schubiger O, Valavanis A, Stuckmann G, Antonucci F (1986) Temporal bone fractures and their complications. Neuroradiol 28: 93–99CrossRefGoogle Scholar
  13. Thorburn IB (1957) Post-traumatic conduction deafness. J Traumatic Lesions of the Temporal Bone Laryngol Otol 71: 542–545Google Scholar
  14. Zimmermann RA, Bilaniuk LT, Hackney DB, Goldberg HI, Grossman RI (1987) Neuroradiol magnetic resonance imaging in temporal bone fracture 29: 246–251Google Scholar

Copyright information

© Springer-Verlag London 1990

Authors and Affiliations

  • Peter D. Phelps
    • 1
  • Glyn A. S. Lloyd
    • 2
    • 3
  1. 1.Walsgrave HospitalRoyal National Throat, Nose and Ear HospitalLondonUK
  2. 2.Department of RadiologyRoyal National Throat, Nose and Ear HospitalLondonUK
  3. 3.Moorfields Eye HospitalLondonUK

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