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- Title
Kdy operovat zlomeniny spánkové kosti?
- Authors
Chrobok, V.; Černý, M.; Šatanková, J.; Mejzlík, J.; Dědková, J.; Kanta, M.; Školoudík, L.
- Abstract
Aim: To evaluate the possibilities and indications of surgical treatment of temporal bone fracture and verify concordance with international experience. Methods: Eleven patients treated surgically for temporal bone fracture at the Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Hradec Králové in 2011-2016 were evaluated retrospectively. Fractures in the petrous and non-petrous part with and without otic capsule involvement were distinguished according to the high-resolution computed tomography scans and the performed surgical treatment was evaluated. Results: Four patients had a fracture in the non-petrous part, 7 patients had a fracture in the petrous part, otic capsule was involved in 6 out of these 7 patients. Decompression of facial nerve was carried out in 6 patients. Subtotal petrosectomy was primarily used in 4 patients and secondarily after facial nerve decompression in 1 patient. In another patient, facial nerve decompression and subtotal petrosectomy was performed simultaneously. Posttraumatic cholesteatoma was found in 2 out of 6 subtotal petrosectomy surgeries, from those one patient was after preceding decompression of facial nerve. Previous purulent meningitis was present in 4 patients. Discussion: Decompression of facial nerve in selected patients with facial nerve palsy is an indication for early surgical treatment of temporal bone fractures. Elective subtotal petrosectomy is considered in fractures in the petrous part involving the otic capsule with the aim of preventing posttraumatic otogenic meningitis. It is mainly indicated in patients with posttraumatic otogenic meningitis or patients with posttraumatic decompression of the facial nerve with concurrent deafness.
- Publication
Česká a Slovenská Neurologie a Neurochirurgie, 2017, Vol 80, Issue 6, p685
- ISSN
1210-7859
- Publication type
Article
- DOI
10.14735/amcsnn2017685