TY - JOUR AU - Chua, Ruben AU - Lacanilao, Rene PY - 2019/12/02 Y2 - 2024/03/28 TI - Facial Paralysis in Longitudinal versus Oblique and Otic-Sparing versus Non Otic-Sparing Temporal Bone Fractures JF - Philippine Journal of Otolaryngology Head and Neck Surgery JA - Philipp J Otolaryngol Head Neck Surg VL - 34 IS - 2 SE - Original Articles DO - 10.32412/pjohns.v34i2.109 UR - https://pjohns.pso-hns.org/index.php/pjohns/article/view/109 SP - 32-34 AB - <p><strong>Objective:</strong> To compare the proportion of temporal bone fractures using traditional (longitudinal vs. transverse) and otic involvement (otic sparing vs. non-otic sparing) classification schemes and their relationship with the development of facial paralysis.</p><p><strong>Methods:</strong></p><p><strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Design:</strong><em> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </em>Retrospective Case Series</p><p><strong>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Setting:</strong> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Tertiary Government Hospital</p><p><strong>&nbsp; &nbsp; &nbsp; &nbsp; Participants:</strong> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Records of 49 patients diagnosed with temporal bone fracture in our institution from August 2016 to June 2018.</p><p><strong>Results:</strong> A total of 41 records of patients with temporal bone fractures, 32 males, 9 females, aged 5 to 70 years-old (mean 37.5-years-old) were included. &nbsp;In terms of laterality 23 (56%) involved the right and 17 (41%) the left side.&nbsp; Traditionally classified, 32 (78%) were longitudinal and 9 (22%) were transverse. Using newer classification based on otic involvement and non-otic involvement, 38 (93%) were otic-sparing and 3 (7%) were non otic-sparing. Only 9 (22%) out of 41 total fracture patients developed facial paralysis, involving 7 of the 32 longitudinal fractures and 2 of the 9 transverse fractures, or 8 of the 38 otic-sparing and 1 out of 3 non otic-sparing fractures.</p><p><strong>Conclusion:</strong> Because of the small sample size, no conclusions regarding the proportion of temporal bone fractures using traditional (longitudinal vs. transverse) and otic involvement (otic sparing vs. non-otic sparing) classification schemes and their relationship with the development of facial paralysis can be drawn in this study.</p><p><strong>Keywords</strong>: <em>head injuries; head trauma; </em><em>skull fracture; temporal bone fracture; motor vehicles; traffic accidents; facial paralysis</em>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</p> ER -