中华耳科学杂志2024，Vol.22Issue(4)：627-631,5.DOI:10.3969/j.issn.1672-2922.2024.04.020
成人自发性脑脊液耳漏4例临床分析并文献复习
Adult Spontaneous Cerebrospinal Fluid Otorrhea:A Report of 4 Cases with Literature Review
耿猛 1姜媛 1张思琪 1蒋新霞 1杜希同 1王建涛 1朱庆文1
作者信息
- 1. 河北医科大学第二医院耳鼻咽喉头颈外科(石家庄 050000)
- 折叠
摘要
Abstract
Objective To report clinical features and treatment of adult spontaneous cerebrospinal fluid otorrhea.Methods Clinical data of 4 patients suffering from spontaneous cerebrospinal fluid otorrhea surgically treated in our de-partment between June 2015 and June 2022 were retrospectively analyzed.All 4 cases were misdiagnosed as secretory otitis media.Defects were located to the tegmen mastoideum in cases 1 and 3,and to the tegmen tympani in cases 4,all surgically repaired through the transmastoid approach.Defect was located in the tegmen tympani in case 2 with brain tis-sue prolapsed to the tympanum,partly wrapping the ossicles and repaired by mastoidectomy plus adipose tissue pack-ing.Results Satisfactory results were achieved after primary repair in cases 1 and 3.Otorrhea initially persisted after pri-mary repair in case 4 but resolved with conservative treatments.No recurrence occurred during followed ups(6 months to 7 years and 6 months,average=4 years and 3 months).Conclusion Pre-operative temporal bone HRCT and MRI scans for diagnosis are important to ensure accurate location of leakage site and appropriate surgical planning.关键词
脑脊液耳漏/自发性/颅底缺损/治疗Key words
cerebral spinal fluid otorrhea/spontaneous/defect of the skull base/therapy引用本文复制引用
耿猛,姜媛,张思琪,蒋新霞,杜希同,王建涛,朱庆文..成人自发性脑脊液耳漏4例临床分析并文献复习[J].中华耳科学杂志,2024,22(4):627-631,5.
