NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG TRÊN BỆNH NHÂN CHẤN THƯƠNG XƯƠNG THÁI DƯƠNG TẠI THÀNH PHỐ CẦN THƠ NĂM 2021-2023

Abstract

Background: Temporal bone trauma is a common problem in clinical practice. However, lesions in the temporal bone is easily overlooked because it is often associated with intracranial lesions. Currently, computed tomography scan is good methods to evaluate lesions in the temporal bone. The classical classification system divides longitudinal fractures, transverse fractures, mixed fractures. The otic capsule-based system divides otic capsule violating and otic capsule sparing. Each classification system helps to predict different clinical symptoms Objectives: To describe the clinical, subclinical features and link between broken line classification systems and symptoms of patients with temporal bone trauma in Can Tho city in 2021-2023. Materials and methods: 65 cases were diagnosed with temporal bone trauma and were treated at Can Thơ Ear Nose Throat Hospital and Can Tho Central General Hospital. Results: Clinical features: hearing loss 78.4%, facial paralysis 32.3%. Computed tomography (CT) image: ossicular chain injury 27.7%. The classical classification system had a statistically significant association with ossicular chain injury (p<0.05). On the other hand, the otic capsule-based system showed a statistically significant association with hearing loss, facial paralysis (p<0.05). Conclusions: Temporal bone trauma have diverse clinical manifestations and fracture classification systems. Computed tomography scan plays a very important role in evaluating lesions in the temporal bone. The classical classification helps to predict ossicular chain injury. The otic capsule-based system provides a good prognosis for hearing loss, facial paralysis.