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[Pediatric temporal bone fractures].

G Plaza Mayor1, J Ferrando Alvarez-Cortinas, G de los Santos Granados

  • 1Unidad ORL, Area de Diagnóstico Por la Imagen, Fundación Hospital, Alcorcón. gmayor@ctv.es

Anales Otorrinolaringologicos Ibero-Americanos
|August 14, 2002
PubMed
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Pediatric temporal bone fractures from falls can cause hearing loss and vertigo. CT scans are crucial for assessing these sports-related injuries in children.

Area of Science:

  • Pediatric Traumatology
  • Neurotology
  • Radiology

Background:

  • Temporal bone fractures are increasingly common in children, often due to sports-related accidents.
  • Accurate diagnosis and management are crucial for preventing long-term sequelae.

Observation:

  • Two pediatric cases (9 and 12-year-old males) with temporal bone fractures from accidental falls are presented.
  • One case had a longitudinal fracture without auditory or vestibular symptoms.
  • The second case involved an oblique fracture with otic capsule involvement, leading to permanent sensorineural hearing loss and transient vertigo.

Findings:

  • CT scanning was essential for evaluating the extent of temporal bone trauma.
  • Despite otic capsule involvement, hearing loss in the second case was selective, primarily above 2 KHz, suggesting localized cochlear injury.

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  • No facial nerve deficits were observed in either case.

    • Implications:

    • This review highlights the importance of prompt diagnosis and audiological/vestibular assessment in pediatric temporal bone trauma.
    • Understanding fracture patterns and their correlation with symptoms aids in predicting outcomes and guiding treatment.
    • CT imaging plays a pivotal role in characterizing these injuries and informing prognosis.