Management
In addition to the standard management of any head injury, there are special considerations for temporal bone fractures:
- CSF otorrhoea and rhinorrhoea will settle spontaneously, though occasionally surgery may be necessary.
- facial nerve exploration and microneural repair may be necessary and ossiculoplasty may be required to restore hearing.
- persistent vertigo may suggest a perilymph leak.
- patients suspected of having a temporal bone fracture should not have their ears syringed.
Reference
- Johnson F, Semaan MT, Megerian CA. Temporal bone fracture: evaluation and management in the modern era. Otolaryngol Clin North Am. 2008 Jun;41(3):597-618
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