TEMPORAL BONE FRACTURES

In this study, we aimed to plan the relations between type of temporal fractures and clinical findings. 24 patient with temporal bone fractures were seen in the department of Ear-Nose-Throat and Emergency between june 1996-March 1999. Patients applied with otorrhagia, facial paralyses, vertigo, and hearing loss and diagnosed with temporal computerized tomography. Temporal fractures were evaluated as 18 longitudinal fractures (11 anterior and 7 posterior), 6 transverse fractures, and 3 complex fractures. Conductive hearing loss was most commonly encountered in longitudinal bone fractures due to tympanic membrane perforation and ossicle dislocation. Neurosensorial hearing loss and permanent facial paralyses were common in transverse and complex type temporal bone fractures.

TEMPORAL KEMÝK FRAKTÜRLERÝ

Bu çalýþma, Temporal fraktür tipleri ile klinik bulgular arasýndaki iliþkiyi incelemek amacýyla KBB ve Acil Kliniðimize Aralýk 1996-Mart 1999 tarihleri arasýnda travma öyküsü ile baþvuran, otoraji, fasial paralizi, vertigo ve iþitme kaybý nedeniyle çekilen temporal BTde temporal kemik fraktürü saptanan 24 olgu üzerinde yapýldý. Temporal kemik fraktürlerinin 18'i longitudinal (11'i anterior, yedisi ise posterior yerleþimli), altýsý transvers ve üçü ise kompleks fraktür olarak deðerlendirildi. Membrana timpani perforasyonu ve kemikçik zincir dislokasyonu sonucu iletim tipi iþitme kaybý en sýk longitudinal fraktürlerde saptandý. Nörosensoryel iþitme kaybý ve kalýcý fasiyal paralizi ise en sýk transvers ve kompleks fraktürlü hastalarda mevcuttu.