Ulus Travma Acil Cerrahi Derg. 2012; 18(5): 424-428 | DOI: 10.5505/tjtes.2012.98957

Temporal kemik kýrýklarý: 77 hastanýn deðerlendirilmesi ve bir yaklaþým algoritmasý

Gökhan Yalçýner¹, Ahmet Kutluhan¹, Kazým Bozdemir¹, Hüseyin Çetin², Behçet Tarlak¹, Akif Sinan Bilgen^1
1Ankara Atatürk Eðitim Ve Araþtýrma Hastanesi 1.kbb Kliniði, Ankara, Türkiye
²Ankara Atatürk Eðitim Ve Araþtýrma Hastanesi Radyoloji Kliniði, Ankara, Türkiye

AMAÇ
Temporal kemik kýrýðý olan hastalarda etyoloji, otolaringolojik semptom ve bulgularýn radyolojik deðerlendirmeleri, tedavi yaklaþýmlarý ve sonuçlar deðerlendirildi.
GEREÇ VE YÖNTEM
Yetmiþ yedi temporal kemik kýrýðý olgusu, yaþ, cinsiyet, kýrýðýn yeri, kýrýðýn etyolojisi ve kanlý otore, timpanik membran perforasyonu, serebrospinal otore, iþitme kaybý, hemotimpanum, fasiyal ve diðer kraniyal sinir paralizilerinin varlýðý ve bilgisayarlý tomografi sonuçlarý yönünden geriye dönük olarak deðerlendirildi.
BULGULAR
Olgularda kýrýklarýn %55’i trafik kazasý sonucu meydana gelmiþti ve çoðunluðu erkekti (%76,6). Otolaringolojik bulgular sýklýk sýrasý ile erken dönem iletim tipi iþitme kaybý (%65,8), kanlý otore (%61,2), hemotimpanum (%58,5), timpanik membran perforasyonu (%25,6), fasiyal sinir paralizisi (%12,3), serebrospinal otore (%8,5) ve sensörinöral iþitme kaybý (%5,4) idi. Kýrýklarýn çoðu petroz (%65,8) ve uzunlamasýna tip (%51,2) idi.
SONUÇ
Bu araþtýrmada 77 temporal kemik kýrýðý hastasýnda sýklýk sýrasý ile otolaringolojik bulgularý ve tedavi yaklaþýmýmýzý literatür bulgularý ile karþýlaþtýrýp tartýþtýk. Temporal kýrýklarda sistematik bir deðerlendirme ve tedavi için bir algoritma oluþturduk.

Anahtar Kelimeler: Kafa travmasý, maksillofasiyal yaralanma; temporal kemik.

---

Temporal bone fractures: evaluation of 77 patients and a management algorithm

Gökhan Yalçýner¹, Ahmet Kutluhan¹, Kazým Bozdemir¹, Hüseyin Çetin², Behçet Tarlak¹, Akif Sinan Bilgen^1
1Department Of Otolaryngology, Ankara Ataturk Training And Research Hospital, Ankara, Turkey
²Department Of Radiology, Ankara Ataturk Training And Research Hospital, Ankara, Turkey

BACKGROUND
We aimed to evaluate the etiologies, otolaryngological features, radiological findings, management strategies, and outcomes of temporal bone fractures.
METHODS
Seventy-seven temporal bone fracture cases were retrospectively evaluated for age and gender distribution, side of the fracture, etiology of injuries, the presence of blood otorrhea, tympanic membrane perforation, cerebrospinal fluid otorrhea, hearing loss, hemotympanum, and facial or other cranial nerve palsies, and computerized tomography reports.
RESULTS
Nearly 55% of the cases were caused by traffic accidents and were predominantly male (76.6%). Otolaryngological presentations in order to frequency were early conductive hearing loss (65.8%), blood otorrhea (61.2%), hemotympanum (58.5%), tympanic membrane perforation (25.6%), facial nerve paralysis (12.3%), cerebrospinal fluid otorrhea (8.5%), and sensorineural hearing loss (5.4%). Most of the fractures were petrous (65.8%) and longitudinal type (51.2%).
CONCLUSION
In this research, otolaryngological findings in order of frequency and treatment approaches were compared with literature findings and discussed in 77 temporal bone fracture cases. We formed a management algorithm for the systematic evaluation and treatment of temporal fractures.

Keywords: Head trauma, maxillofacial injuries; temporal bone.

---

ATIF KOPYALA