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Management

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In addition to the standard management of any head injury, there are special considerations for temporal bone fractures:

  • CSF otorrhoea and rhinorrhoea will settle spontaneously, though occasionally surgery may be necessary.

  • facial nerve exploration and microneural repair may be necessary and ossiculoplasty may be required to restore hearing.

  • persistent vertigo may suggest a perilymph leak.

  • patients suspected of having a temporal bone fracture should not have their ears syringed.

Reference

  1. Johnson F, Semaan MT, Megerian CA. Temporal bone fracture: evaluation and management in the modern era. Otolaryngol Clin North Am. 2008 Jun;41(3):597-618

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