山东大学耳鼻喉眼学报 ›› 2020, Vol. 34 ›› Issue (1): 4-8.doi: 10.6040/j.issn.1673-3770.1.2019.048

• 专家笔谈 • 上一篇    下一篇

正确处理颞骨骨折耳科并发症

许嘉,伊海金*()   

  1. 清华大学附属北京清华长庚医院/清华大学临床医学院 耳鼻咽喉头颈外科，北京 102218
  • 收稿日期:2018-06-24 出版日期:2020-01-20 发布日期:2020-03-06
  • 通讯作者: 伊海金 E-mail:dl7599@163.com
  • 作者简介:伊海金，清华大学附属北京清华长庚医院耳鼻咽喉头颈外科主任医师、教授、硕士生导师，主要从事耳科学及耳神经-侧颅底外科学基础与临床工作。主要学术任职：中国医师协会耳鼻咽喉分会青年委员、颅底学组成员、显微外科分会耳神经及侧颅底外科显微修复专业委员会委员；中国中西医结合学会耳鼻咽喉科专业委员会颅底专家委员会委员；中国抗癌协会头颈肿瘤委员会委员；北京医学会眩晕分会委员；北京医疗事故鉴定委员会成员。兼任：国家科技专家库专家；北京市科委医疗卫生领域专家库专家；北京市科学技术奖励评审、北京首发基金评审专家。担任《中华耳科学杂志》《山东大学耳鼻喉眼学报》编委，《Acta Otorhinolaryngol Ital》《中国神经再生研究(英文版)》审稿人|近年来，作为第一作者、通信作者发表论文36篇，其中SCI文章14篇，承担或主要承担参研博士后基金、医管局培育计划基金、国家和北京市自然科学基金、十二五课题多项，参编专著4部

Standardized treatment of auricular complications with temporal bone fractures

Jia XU,Haijin YI*()   

  1. Department of Otolaryngology Head and Neck Sugery, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Beijing 102218, China
  • Received:2018-06-24 Online:2020-01-20 Published:2020-03-06
  • Contact: Haijin YI E-mail:dl7599@163.com

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摘要：

人体的位听器官皆位于颞骨内，且周围有诸多重要血管及神经穿行，当发生颞骨骨折时，易出现耳科并发症，诸如听力下降、面神经麻痹、脑脊液耳(鼻)漏、眩晕等。在处理颅脑外伤，特别是合并有颞骨骨折时，应注意识别是否出现了耳科并发症。目前对于颞骨骨折合并耳科并发症的处理原则，取决于损伤的部位和严重程度，结合患者具体情况采用个性化的治疗方案，以期早期干预，改善患者预后及生活质量。

关键词: 颞骨骨折, 听力下降, 面神经麻痹, 脑脊液漏, 眩晕

Abstract:

Temporal bone contains cochlea and vestibule, with numerous vessels and nerves. Auricular complications commonly occur when the temporal bone is fractured. Auricular complications must be identified when dealing with craniocerebral trauma, especially with temporal bone fractures. The principles to use for auricular complications with a temporal bone fracture depend on the position and severity of the injury. Individualized treatment can improve the patient's prognosis and quality of life.

Key words: Temporal bone fracture, Hearing loss, Facial paralysis, Cerebrospinal fluid leak, Vertigo

中图分类号: 

  • R764.21
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