[Severe temporal bone fractures in children: clinical presentation, complications and sequelae observed in the last 11 years].
OBJECTIVE
To evaluate the clinical presentation, complications and sequelae in patients with temporal bone fracture in the last 11 years.


METHODS
A total of 27 patient medical records were retrospectively analysed.


RESULTS
Of the 27 patients who were admitted for temporal bone fracture from 2001 to 2012, 13 (48%) had no petrous involvement (Group 1), and 14 (52%) with petrous involvement (Group 2). Patients in Group 2 had a longer P-ICU stay: median 4.5 days (RI: 2.75-22.25 d) vs 2 (RI: 1-3 d) (P=.018); more days on mechanical ventilation support: median 3 days (RI: 1.50-17 d) vs 1 (RI: 1-1.25 d). This group also had a higher frequency in sequelae (P=.04 OR=1.4 (95% CI: 1.05-1.95)) and a higher incidence in cerebrospinal fluid (CSF) fistula (P<.02; OR 2.33; 95% CI (1.27-4.27)). Severity scores (PRIMS III and PTI) showed no significant differences. Some degree of hearing loss was observed in 31% of the patients. Traffic accident was the main cause of trauma (33%), followed by falls (27%). There were 2 deaths and 4 (15%) had permanent sequelae.


CONCLUSIONS
Isolated temporal bone fractures usually have a good outcome in children, but in some cases they can be fatal or have permanent sequelae. Long term follow up is recommended by authors.
Unidad de Cuidados Intensivos Pediátricos, Servicio de Pediatría, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España.
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AJ
Castellanos-Alcarria
Unidad de Cuidados Intensivos Pediátricos, Servicio de Pediatría, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España. Electronic address: anavarromingo@gmail.com.
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A
Navarro-Mingorance
Unidad de Cuidados Intensivos Pediátricos, Servicio de Pediatría, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España.
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SB
Reyes-Domínguez
Unidad de Cuidados Intensivos Pediátricos, Servicio de Pediatría, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España.
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MC
León-León
Unidad de Cuidados Intensivos Pediátricos, Servicio de Pediatría, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España.
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Cepillo-Boluda
Servicio de Neurocirugía, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España.
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A
López López-Guerrero
D002675:Child, Preschool; D005260:Female; D050723:Fractures, Bone / Q000150:complications* / Q000175:diagnosis*; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D012189:Retrospective Studies; D013701:Temporal Bone / Q000293:injuries*; D013997:Time Factors
Cerebrospinal fluid fistula; Fractura de hueso temporal; Fístula de líquido cefalorraquídeo; Hearing loss; Pérdida auditiva; Temporal bone fracture