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Long-term sequels of temporal bone fractures and impairment of quality of life
Author(s): ,
E. Antoniades
Affiliations:
Aristotle University of Thessaloniki, Thessaloniki, Greece
,
G. Psillas
Affiliations:
Aristotle University of Thessaloniki, Thessaloniki, Greece
,
N. Foroglou
Affiliations:
Aristotle University of Thessaloniki, Thessaloniki, Greece
,
K. Polyzoidis
Affiliations:
Aristotle University of Thessaloniki, Thessaloniki, Greece
I. Patsalas
Affiliations:
Aristotle University of Thessaloniki, Thessaloniki, Greece
EANS Academy. Antoniades E. Oct 21, 2018; 225927; EP5044
Dr. Elias Antoniades
Dr. Elias Antoniades
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Abstract
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Background
Temporal bone fractures are associated with multiple neurological sequels and impairment of quality of life [1],[2]. They demand,thus,meticulous observation upon admission and follow-up, even months after discharge. Our aim is to present a prospective temporal bone fracture evaluation, focusing on facial and cochleovestibular sequels and their impact on quality of life.

Materials and methods
23 patients with temporal bone fractures were prospectively evaluated. They were hospitalised within the last two years in our university tertiary centre. Based on initial clinical status, radiological findings and treatment outcome one year post injury, the present study stresses mainly facial and cochleovestibular sequels and their impact on quality of life in this period.

Results
After one year, 20% have residual facial paralysis, one third of patients present dizziness, 80% of them hypoacusis and 56% tinnitus. In 40% of patients, the cochleovestibular sequelae are categorised as disabling. Overall post-trauma quality of life was significantly impaired compared with the pre-trauma status, even after one year as an adjunct of the persistent sequelae.


Conclusions
Owing to the long term impairment of quality of life after temporal bone fractures, the role of prevention using helmets has to be emphasized. Furthermore, prompt diagnosis, treatment and ongoing follow-up by a specialised local medical team is essential for effective management of these patients.

References:
  1. Montava M, Mancini J, Masson C, Collin M, Chaumoitre K, Lavieille JP. Temporal bone fractures: sequelae and their impact on quality of life Am J Otolaryngol. 2015; 36(3):364-70
  2. Honeybrook A, Patki A, Chapurin N, Woodard C. Hearing and Mortality Outcomes following Temporal Bone Fractures. Craniomaxillofac Trauma Reconstr. 2017;10(4):281-285
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