正确处理颞骨骨折耳科并发症  

Standardized treatment of auricular complications with temporal bone fractures

作　　者：许嘉[1] 伊海金[1] XU Jia;YI Haijin(Department of Otolaryngology Head and Neck Sugery,Beijing Tsinghua Changgung Hospital,School of Clinical Medicine,Beijing 102218,China)

机构地区：[1]清华大学附属北京清华长庚医院/清华大学临床医学院耳鼻咽喉头颈外科,北京102218

出　　处：《山东大学耳鼻喉眼学报》2020年第1期4-8,共5页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：人体的位听器官皆位于颞骨内,且周围有诸多重要血管及神经穿行,当发生颞骨骨折时,易出现耳科并发症,诸如听力下降、面神经麻痹、脑脊液耳(鼻)漏、眩晕等。在处理颅脑外伤,特别是合并有颞骨骨折时,应注意识别是否出现了耳科并发症。目前对于颞骨骨折合并耳科并发症的处理原则,取决于损伤的部位和严重程度,结合患者具体情况采用个性化的治疗方案,以期早期干预,改善患者预后及生活质量。Temporal bone contains cochlea and vestibule,with numerous vessels and nerves.Auricular complications commonly occur when the temporal bone is fractured.Auricular complications must be identified when dealing with craniocerebral trauma,especially with temporal bone fractures.The principles to use for auricular complications with a temporal bone fracture depend on the position and severity of the injury.Individualized treatment can improve the patient’s prognosis and quality of life.

关 键 词：颞骨骨折 听力下降 面神经麻痹 脑脊液漏 眩晕 

分 类 号：R764.21[医药卫生—耳鼻咽喉科] R764.23[医药卫生—临床医学]