{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T04:09:32Z","timestamp":1784693372174,"version":"3.55.0"},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2015,10,6]],"date-time":"2015-10-06T00:00:00Z","timestamp":1444089600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2016,1]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To characterize pediatric temporal bone trauma, focusing on audiometric outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Case series with chart review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary care children\u2019s hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>Cases were reviewed of children (&lt;18 years) presenting over a 3\u2010year period with computed tomography\u2013proven temporal bone fracture and audiology examination. All scans were read by a neuroradiologist and reviewed by a pediatric otolaryngologist. Demographics, fracture pattern, and audiometric data were recorded.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010eight patients (60 fractures) met inclusion criteria. The majority (93%) were otic capsule\u2013sparing fractures. The types and severity of hearing loss were significantly different between the 2 fracture patterns. Based on pure\u2010tone average, all otic capsule\u2013violating fractures had abnormal initial audiograms; 75% of these losses were severe. Approximately half (54%) of otic capsule\u2013sparing fractures had abnormal initial audiograms; a majority were mild losses (85%). All classifiable losses in otic capsule\u2013violating cases were of mixed type, whereas the majority (75%) of losses in otic capsule\u2013sparing cases were conductive. Regardless of classification, 72% of patients with otic capsule\u2013sparing fractures and initially abnormal audiograms improved to normal levels at a mean of 48\u00a0days posttrauma; this increased to 83% when only conductive losses were considered.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Hearing loss type and severity differ in otic capsule\u2013sparing and otic capsule\u2013violating temporal bone fractures. A majority of children with otic capsule\u2013sparing fractures and associated hearing loss improve to normal levels in about 6 weeks, especially if the original loss is classified as solely conductive. Children who do not improve within this time frame may warrant early investigation into surgically correctable causes.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599815609114","type":"journal-article","created":{"date-parts":[[2015,10,6]],"date-time":"2015-10-06T22:29:05Z","timestamp":1444170545000},"page":"175-180","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Audiometric Outcomes in Pediatric Temporal Bone Trauma"],"prefix":"10.1002","volume":"154","author":[{"given":"Amy","family":"Schell","sequence":"first","affiliation":[{"name":"UPMC Department of Otolaryngology Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dennis","family":"Kitsko","sequence":"additional","affiliation":[{"name":"UPMC Department of Otolaryngology Pittsburgh Pennsylvania USA"},{"name":"Children\u2019s Hospital of Pittsburgh of UPMC Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,10,6]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2010.07.023"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2008.01.006"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016489.2012.754995"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.5541011202"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2010.12.022"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21891"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200410000-00011"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.132.12.1300"},{"key":"e_1_2_9_10_1","first-page":"340","volume-title":"Neurotology","author":"Kelly KE","year":"1994"},{"key":"e_1_2_9_11_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"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199912000-00014"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e31821c696c"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e3181690792"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599815609114","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1177\/0194599815609114","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599815609114","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T09:24:23Z","timestamp":1760952263000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0194599815609114"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,10,6]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2016,1]]}},"alternative-id":["10.1177\/0194599815609114"],"URL":"https:\/\/doi.org\/10.1177\/0194599815609114","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,10,6]]},"assertion":[{"value":"2015-04-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-09-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-10-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}