Head injury with temporal bone fracture: one year review of case incidence, causes, clinical features and outcome
To investigate the case incidence, causes, clinical profile and outcome of temporal bone fracture complicating head trauma. A 1-year (2005) retrospective study of head injured patients presented to the Emergency Department, Hospital Tengku Ampuan Afzan, Kuantan, Pahang, Malaysia. Gender distribu...
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Malaysian Medical Associations
2008
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| Online Access: | http://irep.iium.edu.my/4385/ http://irep.iium.edu.my/4385/ http://irep.iium.edu.my/4385/1/Head_Injury.pdf |
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iium-43852012-04-03T07:40:43Z http://irep.iium.edu.my/4385/ Head injury with temporal bone fracture: one year review of case incidence, causes, clinical features and outcome Asha'ari, Zamzil Amin Razali, Mohd Sayuti Abdullah, Kahairi Wan Leman, Wan Ishlah Raja Lope Ahmad, Raja Ahmad Al'konee RF Otorhinolaryngology To investigate the case incidence, causes, clinical profile and outcome of temporal bone fracture complicating head trauma. A 1-year (2005) retrospective study of head injured patients presented to the Emergency Department, Hospital Tengku Ampuan Afzan, Kuantan, Pahang, Malaysia. Gender distribution, cause of injury, radiological findings and otorhinolaryngological clinical presentations were analyzed. Of 1309 patients, 61 patients were diagnosed to have temporal bone fracture (4.7%). Majority of cases were caused by motor vehicle accident (85.9%) and were predominantly male (88.5%). The right temporal bone was more frequently fractured (62.3%). Most (88.5%) were petro-mastoid fractures. Sixty-seven percent of the petrous fractures were longitudinal type. Clinical presentations mostly reported were blood rhinorrhea (36%) and blood otorrhea (32.7%). Other clinical presentations were hearing loss (9.8%), cranial nerve palsy (8.2%), cerebrospinal fluid oto-rhinorrhea (8.2%) and labyrinth concussion (6.5%). Four out of five cranial nerve palsies were facial nerve. Out of the 61 cases, 16 (26.2%) had no clinical presentation at the time of Emergency Department consultation. Thirteen (21.3%) died due to severe head injury. The case incidence of temporal bone fracture in head injured patients in our centre is 4.7%. The petro-mastoid type fracture predominates. Proper early diagnosis and management minimize complications. Malaysian Medical Associations 2008 Article PeerReviewed application/pdf en http://irep.iium.edu.my/4385/1/Head_Injury.pdf Asha'ari, Zamzil Amin and Razali, Mohd Sayuti and Abdullah, Kahairi and Wan Leman, Wan Ishlah and Raja Lope Ahmad, Raja Ahmad Al'konee (2008) Head injury with temporal bone fracture: one year review of case incidence, causes, clinical features and outcome. Medical Journal of Malaysia, 63 (5). pp. 373-376. ISSN 0300-5283 http://myjurnal.um.edu.my/filebank/published_article/6597/2008-5-4.pdf |
| repository_type |
Digital Repository |
| institution_category |
Local University |
| institution |
International Islamic University Malaysia |
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IIUM Repository |
| collection |
Online Access |
| language |
English |
| topic |
RF Otorhinolaryngology |
| spellingShingle |
RF Otorhinolaryngology Asha'ari, Zamzil Amin Razali, Mohd Sayuti Abdullah, Kahairi Wan Leman, Wan Ishlah Raja Lope Ahmad, Raja Ahmad Al'konee Head injury with temporal bone fracture: one year review of case incidence, causes, clinical features and outcome |
| description |
To investigate the case incidence, causes, clinical profile and outcome of temporal bone fracture complicating head
trauma. A 1-year (2005) retrospective study of head injured
patients presented to the Emergency Department, Hospital
Tengku Ampuan Afzan, Kuantan, Pahang, Malaysia. Gender
distribution, cause of injury, radiological findings and
otorhinolaryngological clinical presentations were analyzed.
Of 1309 patients, 61 patients were diagnosed to have
temporal bone fracture (4.7%). Majority of cases were
caused by motor vehicle accident (85.9%) and were
predominantly male (88.5%). The right temporal bone was
more frequently fractured (62.3%). Most (88.5%) were
petro-mastoid fractures. Sixty-seven percent of the petrous
fractures were longitudinal type. Clinical presentations
mostly reported were blood rhinorrhea (36%) and blood
otorrhea (32.7%). Other clinical presentations were hearing
loss (9.8%), cranial nerve palsy (8.2%), cerebrospinal fluid
oto-rhinorrhea (8.2%) and labyrinth concussion (6.5%). Four
out of five cranial nerve palsies were facial nerve. Out of the 61 cases, 16 (26.2%) had no clinical presentation at the time of Emergency Department consultation. Thirteen (21.3%) died due to severe head injury. The case incidence of temporal bone fracture in head injured patients in our centre is 4.7%. The petro-mastoid type fracture predominates. Proper early diagnosis and management minimize
complications. |
| format |
Article |
| author |
Asha'ari, Zamzil Amin Razali, Mohd Sayuti Abdullah, Kahairi Wan Leman, Wan Ishlah Raja Lope Ahmad, Raja Ahmad Al'konee |
| author_facet |
Asha'ari, Zamzil Amin Razali, Mohd Sayuti Abdullah, Kahairi Wan Leman, Wan Ishlah Raja Lope Ahmad, Raja Ahmad Al'konee |
| author_sort |
Asha'ari, Zamzil Amin |
| title |
Head injury with temporal bone fracture: one year review of case incidence, causes, clinical features and outcome |
| title_short |
Head injury with temporal bone fracture: one year review of case incidence, causes, clinical features and outcome |
| title_full |
Head injury with temporal bone fracture: one year review of case incidence, causes, clinical features and outcome |
| title_fullStr |
Head injury with temporal bone fracture: one year review of case incidence, causes, clinical features and outcome |
| title_full_unstemmed |
Head injury with temporal bone fracture: one year review of case incidence, causes, clinical features and outcome |
| title_sort |
head injury with temporal bone fracture: one year review of case incidence, causes, clinical features and outcome |
| publisher |
Malaysian Medical Associations |
| publishDate |
2008 |
| url |
http://irep.iium.edu.my/4385/ http://irep.iium.edu.my/4385/ http://irep.iium.edu.my/4385/1/Head_Injury.pdf |
| first_indexed |
2023-09-18T20:12:34Z |
| last_indexed |
2023-09-18T20:12:34Z |
| _version_ |
1777407575859396608 |