دورية أكاديمية
Temporal Bone Fractures and Related Complications in Pediatric and Adult Cranio-Facial Trauma: A Comparison of MDCT Findings in the Acute Emergency Setting
العنوان: | Temporal Bone Fractures and Related Complications in Pediatric and Adult Cranio-Facial Trauma: A Comparison of MDCT Findings in the Acute Emergency Setting |
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المؤلفون: | Romain Kohler, Marcella Pucci, Basile Landis, Pascal Senn, Pierre-Alexandre Poletti, Paolo Scolozzi, Seema Toso, Minerva Becker, Alexandra Platon |
المصدر: | Tomography, Vol 10, Iss 5, Pp 727-737 (2024) |
بيانات النشر: | MDPI AG, 2024. |
سنة النشر: | 2024 |
المجموعة: | LCC:Computer applications to medicine. Medical informatics |
مصطلحات موضوعية: | cranio-facial trauma, temporal bone trauma, emergency radiology, CT, Computer applications to medicine. Medical informatics, R858-859.7 |
الوصف: | Purpose: The purpose of this study was to analyze the prevalence of and complications resulting from temporal bone fractures in adult and pediatric patients evaluated for cranio-facial trauma in an emergency setting. Methods: A retrospective blinded analysis of CT scans of a series of 294 consecutive adult and pediatric patients with cranio-facial trauma investigated in the emergency setting was conducted. Findings were compared between the two populations. Preliminary reports made by on-call residents were compared with the retrospective analysis, which was performed in consensus by two experienced readers and served as reference standard. Results: CT revealed 126 fractures in 116/294 (39.5%) patients, although fractures were clinically suspected only in 70/294 (23.8%); p < 0.05. Fractures were longitudinal, transverse and mixed in 69.5%, 10.3% and 19.8% of cases, respectively. Most fractures were otic-sparing fractures (95.2%). Involvement of the external auditory canal, ossicular chain and the osseous structures surrounding the facial nerve was present in 72.2%, 8.7% and 6.3% of cases, respectively. Temporal bone fractures extended into the venous sinuses/jugular foramen and carotid canal in 18.3% and 17.5% of cases, respectively. Vascular injuries (carotid dissection and venous thrombosis) were more common in children than in adults (13.6% versus 5.3%); however, the observed difference did not reach statistical significance. 79.5% of patients with temporal bone fractures had both brain injuries and fractures of the facial bones and cranial vault. Brain injuries were more common in adults (90.4%) than in children (63.6%), p = 0.001. Although on-call residents reliably detected temporal bone fractures (sensitivity = 92.8%), they often missed trauma-associated ossicular dislocation (sensitivity = 27.3%). Conclusions: Temporal bone fractures and related complications are common in patients with cranio-facial trauma and need to be thoroughly looked for; the pattern of associated injuries is slightly different in children and in adults. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 2379-139X 2379-1381 |
Relation: | https://www.mdpi.com/2379-139X/10/5/56; https://doaj.org/toc/2379-1381; https://doaj.org/toc/2379-139X |
DOI: | 10.3390/tomography10050056 |
URL الوصول: | https://doaj.org/article/dce1628890f04233b4def15e14efb58c |
رقم الأكسشن: | edsdoj.1628890f04233b4def15e14efb58c |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 2379139X 23791381 |
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DOI: | 10.3390/tomography10050056 |