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Gunshot injuries to the temporal bone.

P L Moore1, G Selby, R M Irving

  • 1Department of Otolaryngology/Head and Neck Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham, UK. plamoore@rcsed.ac.uk

The Journal of Laryngology and Otology
|February 20, 2003
PubMed
Summary
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Missile injury to the temporal bone (MITB) is rare but rising in the UK due to firearm violence. Early surgical management is crucial due to high complication risks like facial palsy and intracranial damage.

Area of Science:

  • Otolaryngology
  • Trauma Surgery

Background:

  • The incidence of missile injury to the temporal bone (MITB) is currently low in the UK.
  • Increasing firearm violence suggests a heightened risk of MITB.
  • Devastating sequelae necessitate otolaryngologist expertise in MITB management.

Observation:

  • MITB carries a significantly higher risk of major complications compared to blunt temporal bone trauma.
  • Surgical intervention is frequently required for MITB.
  • This paper reviews a case and relevant literature.

Findings:

  • Pathogenesis, clinical features, and management of MITB are discussed.
  • High complication rates underscore the need for prompt and expert care.
  • Early surgical intervention is often critical for favorable outcomes.

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Implications:

  • Otolaryngologists must be prepared for the increasing incidence of MITB.
  • Understanding MITB management is vital for mitigating severe patient outcomes.
  • This review provides a guide for clinicians managing temporal bone trauma from missiles.