Abstract
Acute head trauma in the emergency room is managed primarily by the trauma surgeon or neurosurgeon. Temporal bone fractures with the complications of hearing loss and facial nerve paralysis may not be promptly evaluated. The otolaryngologist may not be consulted until late in the hospitalization. Traditionally, longitudinal fractures have been associated with conductive hearing loss and transverse fractures with sensorineural hearing loss. The purpose of this study was to correlate the type of fracture with audiometric findings of hearing loss. We also studied the incidence of facial nerve paralysis and its associated fracture types.
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