Abstract
To evaluate the possibilities and indications of surgical treatment of temporal bone fracture and verify concordance with international experience. Eleven patients treated surgically for temporal bone fracture at the Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Hradec Králové in 2011-2016 were evaluated retrospectively.
Fractures in the petrous and non-petrous part with and without otic capsule involvement were distinguished according to the high-resolution computed tomography scans and the performed surgical treatment was evaluated. Decompression of facial nerve in selected patients with facial nerve palsy is an indication for early surgical treatment of temporal bone fractures.
Elective subtotal petrosectomy is considered in fractures in the petrous part involving the otic capsule with the aim of preventing posttraumatic otogenic meningitis. It is mainly indicated in patients with posttraumatic otogenic meningitis or patients with posttraumatic decompression of the facial nerve with concurrent deafness.