Late pneumolabyrinth after undiagnosed post-traumatic perilymphatic fistula. Case report illustrating the importance of systematic emergency management - 24/10/13
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Summary |
Introduction |
Temporal bone fracture is a common complication of high-energy cranial trauma. Labyrinth involvement is rare, but there is a risk of perilymphatic rupture that is often underestimated on initial clinical examination due to the predominance of neurological and/or somatic symptoms.
Case report |
A patient presented with overlooked perilymphatic fistula, decompensated by hyperpressure effort due to poorly adapted management.
Discussion |
Following a review of the literature on post-traumatic pneumolabyrinth, overall management (from diagnosis to treatment, via prevention advice) was analyzed. A constructive critique of the patient's treatment was thus made.
Conclusion |
We argue for a systematic management protocol in cranial trauma with temporal bone fracture, comprising ENT examination, millimetric-scale cross-sectional imaging of the fracture site, and standardized counseling to prevent late complications.
Le texte complet de cet article est disponible en PDF.Keywords : Temporal bone fracture, Perilymphatic fistula, Pneumolabyrinth, CT-scan, Emergency trauma care
Plan
Vol 130 - N° 5
P. 283-287 - novembre 2013 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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