ArticleThe Laryngoscope2025
Long-Term Outcomes of Acute Temporal Bone Fractures.
Article in The Laryngoscope, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Long-Term Outcomes of Adult Temporal Bone Fractures With Hearing Loss: Results of a Multinational Database Analysis.The Laryngoscope · 2025Article
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Authors and funding
8 authors.
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No grant is acknowledged in the PubMed record.
Abstract
OBJECTIVE(S): To compare the incidence of acute and chronic complications of temporal bone fractures, and identify predictors for post-injury, audiometrically confirmed hearing loss.
methodsRetrospective cohort analysis of patients with acute temporal bone fractures who underwent both in-hospital and outpatient follow-up Otolaryngology evaluation at an academic, tertiary-care institution from January 2002 to January 2023. Otologic outcomes were compared between initial and follow-up evaluations. Logistic regression analysis was used to identify predictors of audiometric hearing loss.
results577 subjects with acute injuries were reviewed; 220 met inclusion criteria. Compared with initial evaluation, the incidence of hemotympanum (57% vs. 5%, p < 0.001), external auditory canal injury (18% vs. 8%, p = 0.01), facial nerve weakness (7% vs. 4%, p = 0.016), and cerebrospinal fluid otorrhea (6% vs. 0%, p < 0.001) significantly decreased at follow-up. There were no differences in rates of subjective hearing loss, tympanic membrane injury, or ossicular disruption. Formal audiograms were performed in 82 subjects. 47 (57%) demonstrated hearing loss, almost half of which were pure sensorineural. Multivariate regression identified age (Odds Ratio [OR]: 1.03, p = 0.036), intracranial bleeding (OR: 7.49, p = 0.004), and lateral dural venous sinus thrombosis (OR: 10.5, p = 0.039) as predictors for audiometric loss.
conclusionsTemporal bone fractures are complex injuries often associated with numerous intra-temporal and extra-temporal complications. Various otological sequelae persist upon hospital discharge. Yielding insight about the natural history of such injuries, these results aid in patient counseling, identifying subjects at risk for long-term problems, and necessitating follow-up. LEVEL OF EVIDENCE: 4 Laryngoscope, 135:1803-1808, 2025.
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