Paper Title
Correlation of Temporal Bone Fracture on Ct Scan With Hearing Loss in A Post-Traumatic Patient

Introduction: Temporal bone fractures in adults are invariably due to motor vehicle accidents or road traffic accidents (RTA). Hearing loss is a common complaint following temporal bone fractures but attention to it is frequently overlooked as there may be other life threatening complications associated with it that may require immediate attention of the care giver. Immediate detection of temporal bone fracture and its complications helps in providing early and effective treatment. Aim: The main objective of my study is to observe various types of fractures on MDCT, difference between various types and classification of fractures of temporal bone with correlation between types of fracture and clinical hearing loss. Materials and Methods: Two year (2019-2021) prospective study of head injured patients with temporal bone fracture presented to department of Radio-diagnosis (AVBRH, DMIMS, Wardha) with complaints of hearing loss was subjected for study. Temporal bone fracture patients satisfying inclusion and exclusion criteria having hearing loss were evaluated audio logically after a gap of 3 months following the initial injury once the patient was stable. Age and gender distribution, cause of injury, radiological findings, clinical presentations were analyzed. Data was entered into Microsoft excel data sheet and was analyzed using SPSS 22 version software. Results: Out of 163 patients having hearing loss with temporal bone fracture, majority of the patients were male (84.7%) and were between 21 to 30 years (27.6%) with mean age of 40 years. The major cause of injury was motor vehicle accidents (83.6%). Right side was involved (49.1%) more than the left side (46.0%) and bilateral (4.9%). Most common clinical presentation was otorrhea (31.3%). Longitudinal type fracture was most frequent (61.3%). Otic capsule involvement was present in 9.2%. Conclusion: This study suggests that image analysis of HRCT can be used in fracture of temporal bone either to detect the hearing loss or to know the type and classify the fracture or to find correlation between the types of fracture and clinical hearing loss.