Temporal bone fractures: Longitudinal or oblique? The case for oblique temporal bone fractures

Classical descriptions and illustrations of temporal bone fractures are misleading. Both oblique and longitudinal fractures produce a similar fracture line in the middle cranial fossa; however, externally, they are different. Oblique fractures cross the petrotympanic fissure while longitudinal fract...

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Veröffentlicht in:The Laryngoscope 1992-02, Vol.102 (2), p.129-134
Hauptverfasser: Ghorayeb, Bechara Y., Yeakley, Joel W.
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container_title The Laryngoscope
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creator Ghorayeb, Bechara Y.
Yeakley, Joel W.
description Classical descriptions and illustrations of temporal bone fractures are misleading. Both oblique and longitudinal fractures produce a similar fracture line in the middle cranial fossa; however, externally, they are different. Oblique fractures cross the petrotympanic fissure while longitudinal fractures run within it. In a study of 150 temporal bone fractures, the majority were oblique. An array of fracture planes accounts for most of the fractures observed. Depending on the direction of trauma, fracture planes rotate around an anteroposterior axis. When they approach the horizontal (axial) plane, they result in oblique fractures. True longitudinal fractures are rare. They are vertical and perpendicular to the oblique planes.
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subjects Adolescent
Adult
Aged
Biological and medical sciences
Child
Child, Preschool
Ent, stomatology, face, injuries. Foreign bodies. Diseases due to physical agents: otorhinolaryngology
Female
Humans
Image Processing, Computer-Assisted
Infant
Male
Medical sciences
Middle Aged
Skull Fractures - classification
Skull Fractures - diagnostic imaging
Skull Fractures - pathology
Temporal Bone - diagnostic imaging
Temporal Bone - injuries
Temporal Bone - pathology
Tomography, X-Ray Computed
Traumas. Diseases due to physical agents
title Temporal bone fractures: Longitudinal or oblique? The case for oblique temporal bone fractures
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