scholarly journals Tympanal bone fracture in forensic practice

2021 ◽  
Author(s):  
France Evain ◽  
Karl-Olof Lovblad ◽  
Tony Fracasso
Keyword(s):  
Head Trauma ◽  
Bone Fracture ◽  
Bone Fractures ◽  
Petrous Bone ◽  
Chronic Complications ◽  
Canal Stenosis ◽  
Forensic Practice ◽  
Blunt Head Trauma ◽  
Conductive Hearing ◽  
Head Computed Tomography

AbstractA tympanal bone fracture is an uncommon complication of head trauma and is mostly associated with a mandibular or petrous bone fracture. Upon reviewing the medicolegal literature, we could not find any publications on this topic. Tympanal bone fracture may lead to chronic complications (including external auditory canal stenosis and conductive hearing loss), with an important impact in both the medical and judiciary fields (e.g., chronic disabilities with loss of income). We decided to investigate the prevalence and mechanisms of tympanal bone fractures by means of a retrospective observational study on living victims who underwent head computed tomography after blunt head trauma and clinical forensic investigation at our center. We selected 159 cases of living victims with blunt head trauma (following an assault, traffic accident, or work accident) between January 2016 and December 2020. Re-examination of head imaging revealed 12 cases of tympanal bone fracture. Seven individuals showed cranial fractures involving the petrous bone (on the same side as the tympanal bone fracture). Three individuals had a temporomandibular fracture after a fall with chin impact. Only two victims exhibited an isolated tympanal bone fracture.

scholarly journals Contralateral Cochlear Labyrinthine Concussion without Temporal Bone Fracture: Unusual Posttraumatic Consequence

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
I. M. Villarreal ◽  
D. Méndez ◽  
J. M. Duque Silva ◽  
P. Ortega del Álamo
Keyword(s):  
Hearing Loss ◽  
Head Injury ◽  
Sensorineural Hearing Loss ◽  
Temporal Bone ◽  
Head Trauma ◽  
Bone Fractures ◽  
Contralateral Side ◽  
Sensorineural Hearing ◽  
Temporal Bone Fracture ◽  
Blunt Head Trauma

Introduction. Labyrinthine concussion is a term used to describe a rare cause of sensorineural hearing loss with or without vestibular symptoms occurring after head trauma. Isolated damage to the inner ear without involving the vestibular organ would be designated as a cochlear labyrinthine concussion. Hearing loss is not a rare finding in head trauma that involves petrous bone fractures. Nevertheless it generally occurs ipsilateral to the side of the head injury and extraordinarily in the contralateral side and moreover without the presence of a fracture.Case Report. The present case describes a 37-year-old patient with sensorineural hearing loss and tinnitus in his right ear after a blunt head trauma of the left-sided temporal bone (contralateral). Otoscopy and radiological images showed no fractures or any abnormalities. A severe sensorineural hearing loss was found in his right ear with a normal hearing of the left side.Conclusion. The temporal bone trauma requires a complete diagnostic battery which includes a neurotologic examination and a high resolution computed tomography scan in the first place. Hearing loss after a head injury extraordinarily occurs in the contralateral side of the trauma as what happened in our case. In addition, the absence of fractures makes this phenomenon even more unusual.

scholarly journals Concomitant abducens and facial nerve palsies following blunt head trauma associated with bone fracture

2015 ◽  
pp. bcr2015210811 ◽  
Author(s):  
Min-Jeong Ji ◽  
Sang-Beom Han ◽  
Seung-Jun Lee ◽  
Moosang Kim
Keyword(s):  
Facial Nerve ◽  
Head Trauma ◽  
Bone Fracture ◽  
Blunt Head Trauma

scholarly journals KONTUSIO LABIRIN PADA PASCA CEDERA KEPALA

2019 ◽  
Vol 4 (1) ◽  
pp. 32
Author(s):  
Ari Astuti
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Temporal Bone ◽  
Head Trauma ◽  
Bone Fracture ◽  
Symptomatic Therapy ◽  
Membranous Labyrinth ◽  
Temporal Bone Fracture ◽  
Blunt Head Trauma ◽  
Post Traumatic

Background : Blunt head trauma without any temporal bone fracture or longitudinal temporal bone fracture, with an associated fracture of the labyrinth may cause labyrinthine injury with hearing loss and vertigo because of a concusive injury to the membranous labyrinth. Objective : To explain a case of labyrinthine concussion in patient with post traumatic brain injury experienced in Dr. Sardjito Hospital Yogyakarta. Case Description : A patient who treated in the hospital with spinning sensation after crush injury. She also had fracture of the left collum femur. Head CT scan and laboratory examination was initiated within normal limit. Patient then diagnosed with labyrinthine concussion and treated with symptomatic therapy and physiotherapy. Conclusion : Labyrinthine concussion can occur to the patient of blunt head trauma. Pharmacotherapy and physiotherapy should be initiated to reduce symptomps and uncomfortable sensation. Keywords : labyrinthine concussion, traumatic brain injury, mixed type vertigo

scholarly journals Association Between Parental Preference and Head Computed Tomography in Children With Minor Blunt Head Trauma

2013 ◽  
Vol 167 (5) ◽  
pp. 491 ◽  
Author(s):  
Yasushi Ishida ◽  
Atsushi Manabe ◽  
Aya Oizumi ◽  
Norio Otani ◽  
Michio Hirata ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Head Trauma ◽  
Parental Preference ◽  
Blunt Head Trauma ◽  
Head Computed Tomography

Utility of Repeat Head Computed Tomography After Blunt Head Trauma: A Systematic Review

2006 ◽  
Vol 61 (1) ◽  
pp. 226-233 ◽  
Author(s):  
Marjorie C. Wang ◽  
Ken F. Linnau ◽  
David L. Tirschwell ◽  
William Hollingworth
Keyword(s):  
Computed Tomography ◽  
Systematic Review ◽  
Head Trauma ◽  
Blunt Head Trauma ◽  
Head Computed Tomography
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