Gunshot injuries of the temporal bone.
Concurrent with the increase in handgun crime in the United States is a rising incidence of gunshot wounds to the temporal bone. These injuries present challenging diagnostic and management problems to the otolaryngologist. A timely multicenter review of this entity revealed 22 cases evaluated and treated by the authors between 1975 and 1984. A wide variety of injuries were encountered, involving anatomic structures within or contiguous with the temporal bone. These included: eight intracranial injuries; 11 traumatized facial nerves; seven vascular wounds; 19 mastoid, middle, or inner ear injuries; and 11 cases of damage to the external auditory canals. A rational scheme for immediate and long-term management of each type of injury is outlined. Illustrative cases representing vascular, neural, temporal bone, and central nervous system injury are presented.
Duncan
N O
NO
Coker
N J
NJ
Jenkins
H A
HA
Canalis
R F
RF
D000328:Adult; D004424:Ear Canal / Q000293:injuries / Q000601:surgery; D007758:Ear, Inner / Q000293:injuries; D004432:Ear, Middle / Q000000981:diagnostic imaging / Q000293:injuries; D005260:Female; D006801:Humans; D008297:Male; D008416:Mastoid / Q000293:injuries; D008875:Middle Aged; D011859:Radiography; D013701:Temporal Bone / Q000000981:diagnostic imaging / Q000293:injuries*; D014948:Wounds, Gunshot / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery