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Otolaryngol Head Neck Surg. 2004 Oct;131(4):433-7.

Pediatric temporal bone fractures in a rural population.

Author information

1
Division of Otolarygology-Head and Neck Surgery, Department of Surgery, Penn State Milton S. Hershey Medical Center, Hershey, PA 17033, USA.

Abstract

OBJECTIVE:

To examine pediatric temporal bone fractures in a rural population.

STUDY DESIGN AND SETTING:

A retrospective chart review of pediatric temporal bone fractures between January 1, 1996, and December 31, 2000, at a rural academic medical center.

RESULTS:

A total of 108 patients were identified. Common etiologies include falls, bicycle-related injuries, and motor vehicle accidents. Animal-related injuries were identified primarily in patients under 5. Facial nerve injuries were noted in 7%, hearing loss in 16%, additional skull base fractures in 65%, and intracranial injuries in 75%.

CONCLUSIONS:

Temporal bone fracture etiology in the rural pediatric population is associated with age. Young children may suffer fractures secondary to animal-related accidents. Patterns of injury differ little between rural and urban settings.

SIGNIFICANCE:

Animal-related accidents may be a significant cause of temporal bone trauma in rural young children. Our data remain unique in that we report additional skull base fractures as well as intracranial injuries in this population.

PMID:
15467613
DOI:
10.1016/j.otohns.2004.04.006
[Indexed for MEDLINE]

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