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Updated: Jun 1, 2026
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Published on: August 15, 2025
Management of complication from temporal bone fractures
Ljiljana Cvorovic1, Cvorovic Ljiljana, Milan B Jovanovic
1Department of Otorhinolaryngology and Maxillofacial Surgery, Clinical Hospital Centre Zemun, Medical School, University of Belgrade, Vukova 9, 11080, Belgrade, Serbia. ljiljanamil@sezampro.rs
Summary
Temporal bone fractures often accompany intracranial injuries, necessitating coordinated neurosurgical and otological care. Complications like hearing loss and facial paralysis require careful management.
Area of Science:
- Neurosurgery
- Otolaryngology
- Radiology
Background:
- Temporal bone fractures are complex injuries with varied presentations.
- Understanding associated complications and management is crucial for patient outcomes.
Purpose of the Study:
- To review clinical findings and outcomes in patients with temporal bone fractures.
- To determine the incidence and management of complications.
- To analyze the association between fracture patterns and intracranial injuries.
Main Methods:
- Retrospective clinical study at a tertiary referral center.
- Analysis of 52 patients with 54 temporal bone fractures.
- Classification of fractures based on CT scans.
Main Results:
- 58% of patients had at least one intracranial pathologic finding.
- Persistent conductive hearing loss occurred in 50% of affected patients (8/16).
- Facial paralysis occurred in seven patients; one developed vertigo.
Conclusions:
- Temporal bone fractures are rarely isolated injuries.
- Squama-mastoid fractures frequently associate with intracranial injuries.
- Multidisciplinary care involving neurosurgeons and otologists is essential.
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