Posttraumatic Cranial Suture Diastasis in Pediatric Temporal Bone Fractures.
Journal
Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
ISSN: 1537-4505
Titre abrégé: Otol Neurotol
Pays: United States
ID NLM: 100961504
Informations de publication
Date de publication:
12 2020
12 2020
Historique:
pubmed:
19
8
2020
medline:
15
4
2021
entrez:
19
8
2020
Statut:
ppublish
Résumé
Only a handful of case reports exist describing posttraumatic sutural diastasis in the calvarium and none report concurrent temporal bone involvement. We aim to describe diastasis along the temporal bone suture lines in the setting of temporal bone trauma and to identify clinical sequelae. Retrospective case review. Tertiary Level 1 trauma center. Forty-four patients aged 18 and younger who suffered a temporal bone fracture from 2013 to 2018 were identified. Diastasis and diastasis with displacement at the occipitomastoid, lambdoid, sphenosquamosal and petro-occipital sutures, and synchondroses were determined. The presence of temporal bone suture and synchondrosal diastasis following temporal bone trauma. Diastasis was defined as sutural separation of a distance greater than 1 mm in comparison to the contralateral side. Using our diastasis diagnostic criteria, diastasis occurred in 41.5% of temporal bone fractures. Transverse fracture types were significantly associated with diastasis (p ≤ 0.001). Lower Glasgow Coma Scale (GCS) and loss of consciousness (LOC) were associated with the presence of diastasis with displacement and diastasis (p = 0.034 and p = 0.042, respectively). Otic capsule violation was more common in fractures with diastasis but did not reach statistical significance. There were two cases of cerebrospinal fluid otorrhea and three deaths in cases that featured diastasis. Our findings indicate that diastasis is a positive predictor for higher disruptive force injuries and more severe outcomes and complications. Posttraumatic temporal bone suture diastasis may represent a separate clinico-pathologic entity in addition to the usual temporal bone fracture classification types.
Identifiants
pubmed: 32810023
doi: 10.1097/MAO.0000000000002804
pii: 00129492-202012000-00021
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e1224-e1230Références
Travis LW, Stalnaker RL, Melvin JW. Impact trauma of the human temporal bone. J Trauma 1977; 17:761–766.
Sanna M, Khrais T, Falcioni M, Russo A, Taibah A. The Temporal Bone: A Manual for Dissection and Surgical Approaches. Stuttgart: Thieme; 2006.
Gurdjian ES, Lissner HR. Deformation of the skull in head injury studied by the stresscoat technique, quantitative determinations. Surg Gynecol Obstet 1946; 83:219–233.
Ghorayeb BY, Yeakley JW. Temporal bone fractures: longitudinal or oblique? The case for oblique temporal bone fractures. Laryngoscope 1992; 102:129–134.
Kelly KE, Tami TA. Jackler RK, Brackmann DE. Temporal bone and skull trauma. Neurotology. St. Louis: Mosby; 1994. 340–360.
Dahiya R, Keller JD, Litofsky NS, Bankey PE, Bonassar LJ, Megerian CA. Temporal bone fractures: otic capsule sparing versus otic capsule violating clinical and radiographic considerations. J Trauma 1999; 47:1079–1083.
Little SC, Kesser BW. Radiographic classification of temporal bone fractures: clinical predictability using a new system. Arch Otolaryngol Head Neck Surg 2006; 132:1300–1304.
Grossart KW, Samuel E. Traumatic diastasis of cranial sutures. Clin Radiol 1961; 12:164–170.
Holzschuh M, Schuknecht B. Traumatic epidural haematomas of the posterior fossa: 20 new cases and a review of the literature since 1961. Br J Neurosurg 1989; 3:171–180.
Wang EC, Lim AY, Yeo TT. Traumatic posterior fossa extradural haematomas (PFEDH). Singapore Med J 1998; 39:107–111.
Denton S, Mileusnic D. Delayed sudden death in an infant following an accidental fall: a case report with review of the literature. Am J Forensic Med Pathol 2003; 24:371–376.
Asanin B. Traumatic epidural hematomas in posterior cranial fossa. Acta Clin Croat 2009; 48:27–30.
Shamji MF, Lesiuk H. Traumatic coronal suture diastasis and contre-coup epidural hematoma. Can J Neurol Sci 2010; 37:906–908.
Arun P. A large vertex extradural hematoma due to traumatic bilateral coronal suture diastasis. Neurol India 2011; 59:935–937.
Yamada SM, Tomita Y, Murakami H, Nakane M. Delayed post-traumatic large subgaleal hematoma caused by diastasis of rhomboid skull suture on the transverse sinus. Childs Nerv Syst 2015; 31:621–624.
Fernandes-Cabral DT, Kooshkabadi A, Panesar SS, et al. Surgical management of vertex epidural hematoma: technical case report and literature review. World Neurosurg 2017; 103:475–483.
Campobasso CP, De Micco F, Bugelli V, Cavezza A, Rodriguez WC 3rd, Della Pietra B. Undetected traumatic diastasis of cranial sutures: a case of child abuse. Forensic Sci Int 2019; 298:307–311.
Furuya Y, Edwards MS, Alpers CE, Tress BM, Ousterhout DK, Norman D. Computerized tomography of cranial sutures. Part 1: Comparison of suture anatomy in children and adults. J Neurosurg 1984; 61:53–58.
Ishii M, Sun J, Ting MC, Maxson RE. The development of the calvarial bones and sutures and the pathophysiology of craniosynostosis. Curr Top Dev Biol 2015; 115:131–156.
Madeline LA, Elster AD. Suture closure in the human chondrocranium: CT assessment. Radiology 1995; 196:747–756.
Mann SS, Naidich TP, Towbin RB, Doundoulakis SH. Imaging of postnatal maturation of the skull base. Neuroimaging Clin N Am 2000; 10:1–21.
Coll G, Lemaire JJ, Di Rocco F, et al. Human foramen magnum area and posterior cranial fossa volume growth in relation to cranial base synchondrosis closure in the course of child development. Neurosurgery 2016; 79:722–735.
Sahni D, Jit I, Neelam, Sanjeev. Time of closure of cranial sutures in northwest Indian adults. Forensic Sci Int 2005; 148:199–205.
Alhadi A, Issrani R, Prabhu N, Alhadi M. Observation on the closure of lambdoid suture in relation to age, sex and population variations using a novel radiographic technique – a prospective study. Acta Odontol Scand 2018; 22:1–5.
Mitchell LA, Kitley CA, Armitage TL, Krasnokutsky MV, Rooks VJ. Normal sagittal and coronal suture widths by using CT imaging. AJNR Am J Neuroradiol 2011; 32:1801–1805.
Brodie HA, Thompson TC. Management of complications from 820 temporal bone fractures. Am J Otol 1997; 18:188–197.
Lee D, Honrado C, Har-El G, Goldsmith A. Pediatric temporal bone fractures. Laryngoscope 1998; 108:816–821.
Ross AH, Juarez CA. Skeletal and radiological manifestations of child abuse: implications for study in past populations. Clin Anat 2016; 29:844–853.
Bilo RAC, Robben SGF, van Rijn, Rick R. Forensic Aspects of Paediatric Fractures: Differentiating Accidental Trauma from Child Abuse. Heidelberg: Springer; 2010.
Waissbluth S, Ywakim R, Al Qassabi B, et al. Pediatric temporal bone fractures: a case series. Int J Pediatr Otorhinolaryngol 2016; 84:106–109.
Dunklebarger J, Branstetter B 4th, Lincoln A, et al. Pediatric temporal bone fractures: current trends and comparison of classification schemes. Laryngoscope 2014; 124:781–784.
Aguilar EAJ3rd, Yeakley JW, Ghorayeb BY, Hauser M, Cabrera J, Jahrsdoerfer RA. High resolution CT scan of temporal bone fractures: association of facial nerve paralysis with temporal bone fractures. Head Neck Surg 1987; 9:162–166.