Management of temporal bone trauma – literature revision and algorithm proposal

Authors

DOI:

https://doi.org/10.34631/sporl.3077

Keywords:

Trauma, temporal bone, management

Abstract

Introduction: Temporal bone trauma frequently occurs in the context of high-kinetic-energy trauma, often associated with multiple bodily injuries.

Objective: To present a brief literature review on temporal bone trauma and propose a protocol for approaching these situations in a tertiary hospital.

Description: Initial assessment following high-kinetic-energy trauma requires a summary ABCDE observation to ensure hemodynamic stability. Following this phase, in cases suspected of temporal bone involvement, an otolaryngology evaluation is recommended, to search for signs of hearing loss, vertigo and/or facial mimetic muscle impairment. 

The proposed algorithm guides the approach to temporal bone trauma.

Conclusion: Temporal bone trauma requires otolaryngological evaluation to exclude entities that may require urgent surgical care. The use of therapeutic algorithms aims to optimize the quality of care with appropriate team training.

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Published

2025-09-13

How to Cite

Rebelo, D., Rato, C., Silva, L., Miguéis, A., & Miguéis, J. (2025). Management of temporal bone trauma – literature revision and algorithm proposal. Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery, 63(3), 247–256. https://doi.org/10.34631/sporl.3077

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Original Article