[Diagnosis of fracture of temporal bone in emergency management-reports of 106 cases].

OBJECTIVE

To summarize the effects of diagnose and therapy the fracture of temporal bone in phase of emergency.

METHOD: Retrospectively analyse clinical data of the 106 cases of fracture of temporal bone from 1997 to 2004. Among there are 4 cases were craniotomy, 14 cases were reduction of fracture and 45 cases were debridement suture in the emergency, 6 cases were mastoid-otomy and hemostasis, 3 cases were mastoid exploratory operation and reconstruction of ossicular chain, 1 cases were mastoid exploratory operation and decompression of facial canal, 5 cases were reduction of fracture on external auditory canal.

RESULT: Fourteen cases were methospital and antodischarge. 7 cases of facial paralysis are recovered and 2 cases are improved. Descent of audile and vertigo are multirecovery, other are amelioration.

CONCLUSION

Diagnoses are based on history of wound and six signs of trauma and the result of CT diagnosis. Critically illed patients are treated according to the principle of "rescue-diagnosis- therapy". Emergency are handling in the sequence: airway were unobstructed, breathing were management, circulatory system were stabilizing, heat preservation, oxygen inhalation and expectant operation. The HRCT were necessary for better instruction therapy with spot of fracture were definition.