injuries and poisoning
Temporal Bone Fracture
Treatment of Temporal Bone Fracture
Treatment of symptoms as necessary Treatment is necessary only if the fracture causes problems. If facial paralysis is immediate and severe, surgery may be needed. If paralysis is mild or delayed, a corticosteroid drug given by mouth is typically prescribed. If hearing loss stems from damage to the ossicles, the ossicles are repaired surgically. Hearing loss that results from damage to the cochlea or its nerve is usually permanent. If vertigo is caused by damage that cannot be repaired surgically, a benzodiazepine drug (usually used to treat anxiety) may provide some relief. People can sometimes learn to compensate for problems that vertigo causes (such as loss of balance) through a series of exercises called vestibular rehabilitation. People with leakage of cerebrospinal fluid should be hospitalized. If the leak does not stop on its own within a few days, surgery or insertion of a drain near the spinal cord in the lower back (lumbar drain) may be needed to prevent infection. 