Role of mastoid pneumatization in temporal bone fractures.

BACKGROUND AND PURPOSE: The mastoid portion of the temporal bone has multiple functional roles in the organism, including regulation of pressure in the middle ear and protection of the inner ear. We investigated whether mastoid pneumatization plays a role in the protection of vital structures in the temporal bone during direct lateral trauma. MATERIAL AND METHODS: The study was performed on 20 human temporal bones isolated from cadavers. In the study group formed by 10 temporal bone samples, mastoid cells were removed and the resulting neocavities were filled. The mastoids were maintained intact in the control group. All samples were impacted at the same speed and kinetic energy. The resultant temporal bone fractures were evaluated by CT. RESULTS: Temporal squama fractures were 2.88 times more frequent, and mastoid fractures were 2.76 times more frequent in the study group. Facial nerve canal fractures were 6 times more frequent in the study group and involved all the segments of the facial nerve. Carotid canal fractures and jugular foramen fractures were 2.33 and 2.5 times, respectively, more frequent in the study group. CONCLUSIONS: The mastoid portion of the temporal bone plays a role in the absorption and dispersion of kinetic energy during direct lateral trauma to the temporal bone, reducing the incidence of fracture in the setting of direct trauma.

Metabolism at thermoneutrality and in the cold is reduced in the neonatal preobese Zucker fatty (fa/fa) rat.

Minimum and maximum rates of oxygen consumption (VO2) were determined in 2-, 6- and 8-d-old lean (Fa/?) and preobese (fa/fa or "fatty") Zucker rats. On each study day, three or four naive littermate male pups were placed in individual respiration chambers submerged in a water bath and studied simultaneously over a range of ambient temperatures (24-35 degrees C). The purpose of the cold exposure was to elicit maximal oxygen consumption and to determine the ability of the rat to maintain body temperature during cold stress. Minimum rates of oxygen consumption were observed at 33-34 degrees C in both groups. As ambient temperature was reduced, VO2 increased and rectal temperature decreased. Regression analysis revealed a significantly reduced oxygen consumption in the preobese pups within the thermoneutral zone and during cold exposure. A defect in energy expenditure for heat production was evident in the preobese (fa/fa) pups as indicated by their attenuated cold-induced rate of oxygen consumption and decreased ability to maintain body temperature during cold stress relative to their lean (Fa/?) littermates. Their lower VO2 within the thermoneutral zone implies that the preobese (fa/fa) pups have a decreased metabolic rate even under conditions in which cold-induced thermogenic mechanisms are turned off.