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
en 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.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Perilinfa
/
Fracturas Craneales
/
Hueso Temporal
/
Heridas no Penetrantes
/
Enfermedades Cocleares
/
Acueducto Coclear
/
Aire
/
Urgencias Médicas
/
Fístula
/
Enfermedades del Laberinto
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
/
Guideline
Límite:
Adult
/
Humans
/
Male
Idioma:
En
Revista:
Eur Ann Otorhinolaryngol Head Neck Dis
Año:
2013
Tipo del documento:
Article
País de afiliación:
Francia