Types of Fractures

  • Longitudinal fracture - 70%: Conductive hearing loss (rupture drum, hemotympanum or ossicular disruption) - Facial nerve paresis is not common

  • Transverse fracture - 20%: SNHL & vertigo (Labyrinthine injury) - Facial nerve paralysis is common

Manifestations

  • Battle sign
  • TM perforation
  • Hemotympanum
  • CSF otorrhea or rhinorrhea
  • Ossicular disruption
  • SNHL
  • Vertigo
  • Facial nerve paralysis

Battle Sign

#Z