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3 results

  • Low velocity gunshot injuries to the temporal bone

  • Steven L. Sabin, Dennis Lee, Gady Har-El
  • Journal:
    The Journal of Laryngology & Otology / Volume 112 / Issue 10 / October 1998
    Published online by Cambridge University Press:
    29 June 2007, pp. 929-933
    Print publication:
    October 1998
  • Objective

    To review the presentation, symptoms and management associated with low velocity gunshot injuries to the temporal bone.

    Methods

    A retrospective analysis of 26 patients treated for low velocity gunshot injuries to the temporal bone.

    Results

    Initial presentation included otorrhoea (69 per cent), facial nerve injury (27 per cent), hearing loss (65 per cent), intracranial injuries (50 per cent), and cranial neuropathies (58 per cent). Nine patients (35 per cent) underwent angiography, which showed vascular injury in five of them. Four patients died.

    Conclusion

    Low velocity gunshot injuries can be devastating and may result in functional sequelae. Low velocity missiles crush and lacerate surrounding structures, while high velocity missiles cause extensive wound cavity formation. Early aggressive management for intracranial, vascular and facial nerve injury can improve outcome.

  • Traumatic laryngocoele

  • T. E. Mitchell, J. M. Pickles
  • Journal:
    The Journal of Laryngology & Otology / Volume 112 / Issue 5 / May 1998
    Published online by Cambridge University Press:
    29 June 2007, pp. 482-484
    Print publication:
    May 1998

  • This is the first reported case of a laryngocoele developing after laryngeal trauma. A 26-year-old man sustained a shotgun injury to his larynx. A large number of shotgun pellets was removed from his left vestibular fold. He subsequently developed a left-sided laryngocoele, probably due to fibrosis around the neck of the saccule.The laryngocoele was removed by an external approach.