Poster électronique

Imagerie des traumatismes du rocher dans une population pédiatrique à propos de 36 cas
S. Béjar, L. Ben Hassine, H. Louati, W. Douira-Khomsi, L. Lahmar, I. Bellagha - Tunis - Tunisie
Congrès 2011
Résumé
Objectifs
Savoir porter l'indication d'un scanner des rochers dans un contexte de traumatisme. Connaître l'apport de la tomodensitométrie (TDM) dans le bilan lésionnel des fractures du rocher.
Matériels et méthodes
Étude rétrospective de 36 enfants colligés sur une période de 3 ans, ayant consulté en urgence pour un traumatisme crânien suite à un accident domestique dans 19 cas et à un accident de la voie publique dans 17 cas. Ils ont bénéficié d'une TDM cérébrale en urgence. 28 TDM des rochers ont été réalisées à distance du traumatisme.
Résultats
L'imagerie a permis de retrouver une fracture extralabyrinthique dans 30 cas, translabyrinthique dans 5 cas et complexe dans 2 cas. Une extension du trait de fracture au toit de la caisse a été notée dans 12 cas, au mur de la logette dans 12 cas, au canal carotidien dans 2 cas et au foramen jugulaire dans 1 cas. Une lésion du canal facial a été signalée dans 5 cas. Une lésion ossiculaire a été retrouvée chez 14 enfants.
Conclusion
Les fractures du rocher chez l'enfant accompagnent les traumatismes crâniens dans 25% des cas. Une TDM des rochers à distance du traumatisme est indiquée sauf en cas d'otorrhée, de paralysie faciale ou de vertige aigu.
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2017-09-03 21.32 :
Shana Phillips

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2017-04-11 03.23 :
Lisa Calabrese

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