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
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Specialty: Surgery, orthopedic, Emergency Medicine
