TY - JOUR PY - 2023// TI - Gun shot injuries to the temporal bone: anatomic predictors of mortality JO - American journal of otolaryngology A1 - Socolovsky, Leandro A1 - Bentan, Mihai A. A1 - Bauschard, Michael A1 - Reichl, Kaitlyn A1 - Coelho, Daniel H. SP - e104134 EP - e104134 VL - 45 IS - 2 N2 - PURPOSE: To explore anatomic predictors of mortality from gunshot wounds involving the temporal bone.

METHODS: A retrospective search of radiology reports was performed for all patients with CT reports suggestive of gunshot wounds (GSW) to the TB (2000-2020). All cases were reviewed by the senior author to confirm injury to the temporal bone. Detailed demographic and radiographic data were collected. MAIN FINDINGS: A total of 120 patients met inclusion criteria. The majority of patients were male (n = 101) and the average age was 32.9. The squamosa was the most commonly involved subsite (n = 90), followed by the mastoid (n = 43). Squamosal entry site had the highest associated mortality (89.7 %). For those with known disposition, 65.8 % (79 of 120) expired on the same hospital admission. Inpatient otolaryngology consultation was noted in 18.3 % (n = 22) of patients, with poor outpatient follow-up.

CONCLUSIONS: This series represents the largest survey of GSW to the temporal bone to date. Although associated mortality is high and outpatient follow-up poor, otolaryngologists should be aware of associated morbidities to facilitate both inpatient and subsequent outpatient management.

Language: en

LA - en SN - 0196-0709 UR - http://dx.doi.org/10.1016/j.amjoto.2023.104134 ID - ref1 ER -