Late pneumolabyrinth after undiagnosed post-traumatic perilymphatic fistula. Case report illustrating the importance of systematic emergency management.
Eur Ann Otorhinolaryngol Head Neck Dis
; 130(5): 283-7, 2013 Nov.
Article
em En
| MEDLINE
| ID: mdl-23759282
ABSTRACT
INTRODUCTION:
Temporal bone fracture is a common complication of high-energy cranial trauma. Labyrinth involvement is rare, but there is a risk of perilymphatic rupture that is often underestimated on initial clinical examination due to the predominance of neurological and/or somatic symptoms. CASE REPORT A patient presented with overlooked perilymphatic fistula, decompensated by hyperpressure effort due to poorly adapted management.DISCUSSION:
Following a review of the literature on post-traumatic pneumolabyrinth, overall management (from diagnosis to treatment, via prevention advice) was analyzed. A constructive critique of the patient's treatment was thus made.CONCLUSION:
We argue for a systematic management protocol in cranial trauma with temporal bone fracture, comprising ENT examination, millimetric-scale cross-sectional imaging of the fracture site, and standardized counseling to prevent late complications.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Perilinfa
/
Fraturas Cranianas
/
Osso Temporal
/
Ferimentos não Penetrantes
/
Doenças Cocleares
/
Aqueduto da Cóclea
/
Ar
/
Emergências
/
Fístula
/
Doenças do Labirinto
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Guideline
Limite:
Adult
/
Humans
/
Male
Idioma:
En
Revista:
Eur Ann Otorhinolaryngol Head Neck Dis
Ano de publicação:
2013
Tipo de documento:
Article