Gun shot injuries to the temporal bone: Anatomic predictors of mortality.
Am J Otolaryngol
; 45(2): 104134, 2024.
Article
em En
| MEDLINE
| ID: mdl-38103487
ABSTRACT
PURPOSE:
To explore anatomic predictors of mortality from gunshot wounds involving the temporal bone.METHODS:
A retrospective search of radiology reports was performed for all patients with CT reports suggestive of gunshot wounds (GSW) to the TB (2000-2020). All cases were reviewed by the senior author to confirm injury to the temporal bone. Detailed demographic and radiographic data were collected. MAINFINDINGS:
A total of 120 patients met inclusion criteria. The majority of patients were male (n = 101) and the average age was 32.9. The squamosa was the most commonly involved subsite (n = 90), followed by the mastoid (n = 43). Squamosal entry site had the highest associated mortality (89.7 %). For those with known disposition, 65.8 % (79 of 120) expired on the same hospital admission. Inpatient otolaryngology consultation was noted in 18.3 % (n = 22) of patients, with poor outpatient follow-up.CONCLUSIONS:
This series represents the largest survey of GSW to the temporal bone to date. Although associated mortality is high and outpatient follow-up poor, otolaryngologists should be aware of associated morbidities to facilitate both inpatient and subsequent outpatient management.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Ferimentos por Arma de Fogo
Limite:
Adult
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Female
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Humans
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Male
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article