{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T04:17:44Z","timestamp":1782188264838,"version":"3.54.5"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,2,25]],"date-time":"2020-02-25T00:00:00Z","timestamp":1582588800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec><jats:title>Objectives\/Hypothesis<\/jats:title><jats:p>To identify which patients with temporal bone fractures who have already undergone trauma pan\u2010scan computed tomography (CT) do not require an additional dedicated temporal bone CT. To determine the added cost of dedicated temporal bone CT in a lower\u2010risk group of patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective chart review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A chart review was conducted of adult patients at a large level I trauma center with temporal bone fractures who underwent both trauma pan\u2010scan CT and dedicated temporal bone CT. Patients were risk stratified into lower\u2010 and higher\u2010risk groups based on imaging and physical exam findings. Imaging findings regarding five critical anatomic structures were compared between the two types of CT scans.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 180 patients who met inclusion criteria, with 120 patients stratified to the lower\u2010risk group. The negative predictive values of trauma pan\u2010scan CT within the lower\u2010risk group for fracture involvement with the five critical anatomic structures were as follows: otic capsule (1.000), carotid canal (0.960), facial nerve canal (1.000), ossicular chain (0.992), and tegmen (0.856). The annual out\u2010of\u2010pocket cost to patients for dedicated temporal bone CT imaging in the lower\u2010risk group was estimated to be approximately $34,000, for a total of $190,000 during the complete study period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Trauma pan\u2010scan CT may be sufficient in lower\u2010risk patients to identify temporal bone fracture involvement with critical anatomic structures of the temporal bone. Reductions in dedicated temporal bone imaging will decrease both radiation exposure to trauma patients and strain on radiology departments.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4 <jats:italic>Laryngoscope<\/jats:italic>, 131:E278\u2013E282, 2021<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.28565","type":"journal-article","created":{"date-parts":[[2020,2,25]],"date-time":"2020-02-25T13:34:30Z","timestamp":1582637670000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Utilization of Computed Tomography in Temporal Bone Fractures at a Large Level I Trauma Center"],"prefix":"10.1002","volume":"131","author":[{"given":"Mikhaylo","family":"Szczupak","sequence":"first","affiliation":[{"name":"Department of Otolaryngology University of Miami Miller School of Medicine  Miami Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Kravietz","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology New York University School of Medicine  New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5679-0772","authenticated-orcid":false,"given":"Jaimin","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of Miami Miller School of Medicine  Miami Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ariel","family":"Grobman","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of Miami Miller School of Medicine  Miami Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charif","family":"Sidani","sequence":"additional","affiliation":[{"name":"Department of Radiology University of Miami Miller School of Medicine  Miami 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