Facial paralysis in longitudinal versus oblique and otic-sparing versus non otic-sparing temporal bone fractures
https://doi.org/10.32412/pjohns.v34i2.109
- Author:
Ruben J. Chua Jr.
1
;
Rene C. Lacanilao
1
Author Information
1. Department of Otolaryngology Head and Neck Surgery Amang Rodriquez Memorial Medical Center
- Publication Type:Journal Article
- Keywords:
Head Injuries;
Head Trauma;
Skull Fracture;
Temporal Bone Fracture
- MeSH:
Human;
Male;
Female;
Aged (a Person 65 Through 79 Years Of Age);
Middle Aged (a Person 45-64 Years Of Age);
Craniocerebral Trauma;
Motor Vehicles;
Accident Traffict;
Facial Paralysis
- From:
Philippine Journal of Otolaryngology Head and Neck Surgery
2019;34(2):32-34
- CountryPhilippines
- Language:English
-
Abstract:
Objective:To compare the proportion of temporal bone fractures using traditional (longitudinal vs. transverse) and otic involvement (otic sparing vs. non-otic sparing) classification schemes and their relationship with the development of facial paralysis.
Methods:Design: Retrospective Case Series.
Setting: Tertiary Government Hospital.
Participants: Records of 49 patients diagnosed with temporal bone fracture in our institution from August 2016 to June 2018.
Results:A total of 41 records of patients with temporal bone fractures, 32 males, 9 females, aged 5 to 70 years-old (mean 37.5-years-old) were included. In terms of laterality 23 (56%) involved the right and 17 (41%) the left side. Traditionally classified, 32 (78%) were longitudinal and 9 (22%) were transverse. Using newer classification based on otic involvement and non-otic involvement, 38 (93%) were otic-sparing and 3 (7%) were non otic-sparing. Only 9 (22%) out of 41 total fracture patients developed facial paralysis, involving 7 of the 32 longitudinal fractures and 2 of the 9 transverse fractures, or 8 of the 38 otic-sparing and 1 out of 3 non otic-sparing fractures.
Conclusion:Because of the small sample size, no conclusions regarding the proportion of temporal bone fractures using traditional (longitudinal vs. transverse) and otic involvement (otic sparing vs. non-otic sparing) classification schemes and their relationship with the development of facial paralysis can be drawn in this study.
- Full text:document1.pdf
