측두골 골절의 합리적 분류법에 대한 고찰

박상유; 양종원; 김성일; 권장우; 성기준

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자료유형: 학술저널

저자정보: 박상유 양종원 김성일 권장우 성기준

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제50권 제6호

발행연도: 2007.1

수록면: 491 - 495 (5page)

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연구주제

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연구배경

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연구방법

🏆

연구결과

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Background and Objectives：definition of transverse or longitudinal one, but it is often obscure and has problems of discrepancy in corelation with otologic symptoms. So we investigated the practicality of other noticeable reporting schemes for reasonable adoption. Subjects and Method：We thoroughly reviewed the medical records of the temporal bone fracture patients in past two years. And high resolution CT images were also re-evaluated by the senior radiologist using traditional and newer (capsule violating, petrous vs. nonpetrous) classification schemes. Results：A total of 61 cases were identified as temporal bone fracture. Among various symptoms, only sensorineural hearing los was significantly higher in the transverse type of traditional scheme and in otic capsule violating fracture. Symptoms such as subjective and verified hearing los including conductive hear-ing los and ear fulness were higher in nonpetrous fracture (p<0.05). Conclusion：Traditional and otic capsule scheme correl-ated poorly with clinical presentation, whereas the petrous classification was better matched with main symptoms. Therefore, the petrous scheme was sugested as the more discriminative clasification plan of temporal bone fracture to predict its sequela. (Korean J Otolaryngol 2007 ;50 :491-5)

#측두골·골절·분류법. #Temporal bone· Bone fractures·

참고문헌 (11)

참고문헌 신청

/ / The surgical treatment of facial paralysis and traumatic conductive deafness in fracture of the temporal bone : 855 ~ 89

/ 1997 / Management of complication of 820 tem-poral bone fractures 18 (2) : 188 ~ 197

/ 1997 / Temporal bone fractures inducing facial nerve paralysis: A new classification and its clinical significance 76 (2) : 79 ~ 86

/ 1999 / Temporal bone fractures: Otic capsule sparing versus otic capsule violating clinical and radiographic consideration 47 (6) : 1079 ~ 1083

/ 2004 / Temporal bone fractures: Traditional cla-sification and clinical relevance 114 (10) : 1734 ~ 1741

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