{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T17:23:19Z","timestamp":1772990599953,"version":"3.50.1"},"reference-count":36,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,6,23]],"date-time":"2024-06-23T00:00:00Z","timestamp":1719100800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,6,23]],"date-time":"2024-06-23T00:00:00Z","timestamp":1719100800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Temporal bone pneumatization (TBP) is speculated to serve as a shock absorber in temporal bone fractures (TBF), directing the fracture line away from vital structures. This study correlates TBP extent with TBF patterns and preservations of vital TB structures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Tertiary referral medical center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All TBF patients referred to a single tertiary center 2017 to 2023 were evaluated. A pneumatization index score for each of their TBs was derived by counting automated\u2010voxel density in a 0 to 100 scale. Results were correlated to the TBF type and the violated structure(s). The ossification index was compared to previously detailed qualitative classification systems of TBP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      One hundred and forty\u2010five patients were enrolled (mean age 43\u2009\u00b1\u200917 years). Kinematics were motor vehicle accidents (46%), scooter (15%), bicycle (14%), falls (13%), and assaults (8%). The mastoid ossification index we used showed a strong correlation to all qualitative classification systems (sigmoid\u2009=\u20090.829; labyrinthine\u2009=\u20090.849; carotis\u2009=\u20090.863, infralabyrinthine\u2009=\u20090.869, all\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001). The pneumatization index strongly correlated with capsule\u2010violating TBFs, with a mean of 44\u2009\u00b1\u200923 for otic capsule\u2010sparing TBF and 61\u2009\u00b1\u200920 for otic capsule\u2010violating (OCV) TBF (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001). The facial nerve was violated in 30 patients. Facial canal (FC) involvement was not correlated to the ossification index: it was 49\u2009\u00b1\u200923 for FC\u2010sparing and 44\u2009\u00b1\u200923 for FC\u2010violating (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.620).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>TBP serves as a protective mechanism against OCV TBF. The more pneumatized the TB, the less likely the otic capsule will be violated in the event of a TBF with the exception of the carotid and FCs. TBP index is in strong agreement with qualitative TBP classification systems.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ohn.873","type":"journal-article","created":{"date-parts":[[2024,6,23]],"date-time":"2024-06-23T03:39:37Z","timestamp":1719113977000},"page":"1476-1484","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Role of Temporal Bone Pneumatization on Fracture Line and Involved Cranial Structures"],"prefix":"10.1002","volume":"171","author":[{"given":"Udi","family":"Shapira","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery and Maxillofacial Surgery, Tel\u2010Aviv Sourasky Medical Center Tel\u2010Aviv University Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linor","family":"Klein","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery and Maxillofacial Surgery, Tel\u2010Aviv Sourasky Medical Center Tel\u2010Aviv University Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yahav","family":"Oron","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery and Maxillofacial Surgery, Tel\u2010Aviv Sourasky Medical Center Tel\u2010Aviv University Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ophir","family":"Handzel","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery and Maxillofacial Surgery, Tel\u2010Aviv Sourasky Medical Center Tel\u2010Aviv University Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rani","family":"Abu\u2010Eta","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery and Maxillofacial Surgery, Tel\u2010Aviv Sourasky Medical Center Tel\u2010Aviv University Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nidal","family":"Muhanna","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery and Maxillofacial Surgery, Tel\u2010Aviv Sourasky Medical Center Tel\u2010Aviv University Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shahaf","family":"Shilo","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery and Maxillofacial Surgery, Tel\u2010Aviv Sourasky Medical Center Tel\u2010Aviv University Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adi","family":"Brenner","sequence":"additional","affiliation":[{"name":"Department of Radiology, Tel Aviv Sourasky Medical Center Tel\u2010Aviv University Tel Aviv Israel"},{"name":"Affiliated to the School of Medicine Tel\u2010Aviv University Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5904-1291","authenticated-orcid":false,"given":"Omer J.","family":"Ungar","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery and Maxillofacial Surgery, Tel\u2010Aviv Sourasky Medical Center Tel\u2010Aviv University Tel Aviv Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,6,23]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ar.21404"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.78.4.192"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0269360"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200311000-00002"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1152\/japplphysiol.00634.2002"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016489009122520"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.28676"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.28212"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198909000-00003"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2012.12.001"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0217682"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A3887"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.crad.2007.04.019"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-016-1662-5"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599818778268"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.132.12.1300"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199912000-00014"},{"key":"e_1_2_8_19_1","first-page":"219","article-title":"Deformations of the skull in head injury studied by the stresscoat technique, quantitative determinations","volume":"83","author":"HR L","year":"1946","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199202000-00005"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/014556139707600207"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200410000-00011"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1934.03790050021003"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-014-0745-z"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.28490"},{"key":"e_1_2_8_26_1","volume-title":"Verletzungen des Geh\u00f6rorgans bei Sch\u00e4del\u2010Basisfrakturen (eine Histologische und Klinische Studie)","author":"Ulrich K","year":"1926"},{"key":"e_1_2_8_27_1","first-page":"219","article-title":"Deformations of the skull in head injury studied by the stresscoat technique, quantitative determinations","volume":"83","author":"Gurdjian ES","year":"1946","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1983.00800190007002"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459988709700303"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199806000-00008"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2005-870593"},{"key":"e_1_2_8_32_1","first-page":"1127","volume-title":"Neurotology","author":"Kelly KE","year":"1994"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2008.01.006"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-020-04492-2"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(98)70020-8"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199504000-00003"},{"issue":"2","key":"e_1_2_8_37_1","first-page":"188","article-title":"Management of complications from 820 temporal bone fractures","volume":"18","author":"Brodie HA","year":"1997","journal-title":"Am J Otol"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ohn.873","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ohn.873","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ohn.873","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T12:26:00Z","timestamp":1772972760000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1002\/ohn.873"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,23]]},"references-count":36,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["10.1002\/ohn.873"],"URL":"https:\/\/doi.org\/10.1002\/ohn.873","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,23]]},"assertion":[{"value":"2024-04-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-06-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}