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Research ArticleHead & Neck

Tympanic Plate Fractures in Temporal Bone Trauma: Prevalence and Associated Injuries

C.P. Wood, C.H. Hunt, D.C. Bergen, M.L. Carlson, F.E. Diehn, K.M. Schwartz, G.A. McKenzie, R.F. Morreale and J.I. Lane
American Journal of Neuroradiology January 2014, 35 (1) 186-190; DOI: https://doi.org/10.3174/ajnr.A3609
C.P. Wood
aFrom the Departments of Radiology (C.P.W., C.H.H., D.C.B., F.E.D., K.M.S., G.M., J.L.)
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C.H. Hunt
aFrom the Departments of Radiology (C.P.W., C.H.H., D.C.B., F.E.D., K.M.S., G.M., J.L.)
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D.C. Bergen
aFrom the Departments of Radiology (C.P.W., C.H.H., D.C.B., F.E.D., K.M.S., G.M., J.L.)
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M.L. Carlson
bOtolaryngology (M.L.C.)
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F.E. Diehn
aFrom the Departments of Radiology (C.P.W., C.H.H., D.C.B., F.E.D., K.M.S., G.M., J.L.)
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K.M. Schwartz
aFrom the Departments of Radiology (C.P.W., C.H.H., D.C.B., F.E.D., K.M.S., G.M., J.L.)
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G.A. McKenzie
aFrom the Departments of Radiology (C.P.W., C.H.H., D.C.B., F.E.D., K.M.S., G.M., J.L.)
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R.F. Morreale
cMedia Support Services (R.M.), Mayo Clinic, Rochester, Minnesota.
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J.I. Lane
aFrom the Departments of Radiology (C.P.W., C.H.H., D.C.B., F.E.D., K.M.S., G.M., J.L.)
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  • Fig 1.
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    Fig 1.

    External sagittal view of the left temporal bone depicting the tympanic plate as it forms part of the anterior wall of the external auditory canal.

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    Fig 2.

    Oblique 3D view of the skull, including the external portion of the left temporal bone and the Pöschl plane for CT reformatting superimposed. This Pöschl plane view is depicted in the inset along with a TPF and some of the possible associated traumatic injuries.

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    Fig 3.

    HRCT images with Pöschl views in the same patient demonstrating the tympanic plate (A, white arrow) and the petrotympanic fissure (B, arrowhead).

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    Fig 4.

    A 66-year-old intoxicated man, status post 2 falls within an hour, each of which led to his head striking a cement floor. Right tympanic plate fractures demonstrated on HRCT. Axial (A), Pöschl (B), and coronal (C) plane views. Tympanic plate fracture is demonstrated by white arrows.

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    Fig 5.

    A 21-year-old woman, status post motor vehicle collision, with bilateral tympanic plate fractures (only the right one is shown). The complex nature of the right tympanic plate fracture is demonstrated by the white arrows on the axial (A), Pöschl (B), and coronal (C) plane images.

Tables

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    Table 1:

    Clinical and CT features of temporal bone fractures

    No. of Temporal Bone Fractures (n = 46)
    Fracture orientation
        Transverse2 (4.4%)
        Longitudinal18 (39.1%)
        Mixed26 (56.5%)
    Otic capsule involvement4 (9%)
    Pneumocephalus16 (35%)
    TMJ gas15 (33%)
    TPF27 (58.7%)
    Ossicular disruption17 (37.0%)
    Fractures involving scutum25 (54.4%)
    • View popup
    Table 2:

    Tympanic plate fractures and associations

    No. of TPFs (n = 27)P Value
    Ossicular disruption14 (51.8%).016
    Scutum fracture18 (66.6%).044
    Bilateral TPF7 (25.9%).52
    CT evidence of CN VII involvement14 (51.9%).56
    Gas within TMJ fossa11 (40.7%).21
    • Note:—CN indicates cranial nerve.

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American Journal of Neuroradiology: 35 (1)
American Journal of Neuroradiology
Vol. 35, Issue 1
1 Jan 2014
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Tympanic Plate Fractures in Temporal Bone Trauma: Prevalence and Associated Injuries
C.P. Wood, C.H. Hunt, D.C. Bergen, M.L. Carlson, F.E. Diehn, K.M. Schwartz, G.A. McKenzie, R.F. Morreale, J.I. Lane
American Journal of Neuroradiology Jan 2014, 35 (1) 186-190; DOI: 10.3174/ajnr.A3609

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Tympanic Plate Fractures in Temporal Bone Trauma: Prevalence and Associated Injuries
C.P. Wood, C.H. Hunt, D.C. Bergen, M.L. Carlson, F.E. Diehn, K.M. Schwartz, G.A. McKenzie, R.F. Morreale, J.I. Lane
American Journal of Neuroradiology Jan 2014, 35 (1) 186-190; DOI: 10.3174/ajnr.A3609
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