A classification of temporal bone fracture depends on whether or not the fracture violates or spares the otic capsule.

Patient selection: temporal lobe fracture


An otic capsule violating fracture is one the courses into or through the cochlea or labyrinth.


Otic capsule violation is associated with a higher risk for:

(1) facial nerve paralysis

(2) CSF otorrhea

(3) profound hearing loss

(4) epidural hematoma and/or subarachnoid hemorrhage

To read more or access our algorithms and calculators, please log in or register.