Cerebrospinal fluid otorrhoea following grommet insertion: management using a multi-layered graft technique and an important lesson revisited

2012 ◽  
Vol 127 (1) ◽  
pp. 70-72 ◽  
Author(s):  
S Patil ◽  
A Trinidade ◽  
M Yung ◽  
N Donnelly
Keyword(s):  
Cerebrospinal Fluid ◽  
Early Recognition ◽  
Cerebrospinal Fluid Leak ◽  
Important Lesson ◽  
Management Options ◽  
Grafting Technique ◽  
Tegmen Tympani ◽  
Uncommon Condition ◽  
Fluid Leak ◽  
Conductive Hearing

AbstractBackground:A spontaneous cerebrospinal fluid leak can sometimes only become apparent following grommet insertion and usually represents dehiscence of the tegmen tympani, which is an uncommon condition.Objectives:This report aimed to reaffirm the importance of recognising this unusual presentation and outline management options.Case report:A 63-year-old man with conductive hearing loss and type B (flat) tympanometry underwent grommet insertion into his left ear, which resulted in cerebrospinal fluid otorrhoea. A defect of the tegmen tympani was found. This was successfully repaired via a transmastoid approach using a multi-layered grafting technique.Conclusion:Dehiscence of the tegmen tympani is uncommon and may only come to light following grommet insertion, which may be problematic for the uninformed otolaryngologist. Education is important to ensure early recognition and appropriate management.

Tegmen tympani cerebrospinal fluid leak epair

2004 ◽  
Vol 124 (4) ◽  
pp. 443-448 ◽  
Author(s):  
Ricardo Ferreira Bento ◽  
Francini Grecco de Melo Pádua
Keyword(s):  
Cerebrospinal Fluid ◽  
Cerebrospinal Fluid Leak ◽  
Tegmen Tympani ◽  
Fluid Leak

Management of Cerebral Vascular Structures during Endoscopic Treatment of Encephaloceles: A Clinical Report

2006 ◽  
Vol 115 (3) ◽  
pp. 167-170 ◽  
Author(s):  
William E. Bolger
Keyword(s):  
Cerebrospinal Fluid ◽  
Skull Base ◽  
Endoscopic Treatment ◽  
Cerebrospinal Fluid Leak ◽  
Sinus Surgery ◽  
Clinical Report ◽  
Management Options ◽  
Cerebral Vessel ◽  
Fluid Leak ◽  
Cerebral Vascular

Objectives: Otolaryngologists are increasingly being called upon to treat patients with cerebrospinal fluid leak and encephaloceles. The endoscopic approach to the skull base through the nose and paranasal sinuses has proven effective and is well tolerated by patients. With its more widespread and frequent use, unusual cases and potential complications are becoming more apparent. Methods: Treatment of Two clinical cases in which a cerebral vascular structure was encountered during endoscopic treatment of an encephalocele is presented, and the condition is reviewed. Results: Two patients presented after a skull base injury that occurred during endoscopic sinus surgery. In each case the initial treating surgeon attempted endoscopic repair of a cerebrospinal fluid leak, but the repair failed and the leak persisted. Upon referral to the author, in each case, a traumatic encephalocele with an active leak was apparent, and during repair a cerebral vessel was encountered. It appeared that the vessel had been “pulled down” into the skull base defect with the encephalocele's migration into the sinonasal cavity. Conclusions: This unusual clinical condition is discussed along with the potential complications that can result from it. Otolaryngologists who treat encephaloceles should be aware of the possibility of encountering a cerebral vessel and should understand the potential complications and management options.

Endoscopic Management of the Cerebrospinal Fluid Leak

Skull Base ◽  
2009 ◽  
Vol 19 (S 02) ◽  
Author(s):  
E. Pasquini ◽  
G. Tenti ◽  
C. Bordonaro ◽  
P. Farneti ◽  
V. Sciarretta ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Cerebrospinal Fluid Leak ◽  
Endoscopic Management ◽  
Fluid Leak

scholarly journals Crayon in the Orbit and Sinuses in a Pediatric Patient

2021 ◽  
pp. 014556132110185
Author(s):  
Michela Borrelli ◽  
Kristen A. Echanique ◽  
Jeffrey Koempel ◽  
Elisabeth H. Ference
Keyword(s):  
Cerebrospinal Fluid ◽  
Skull Base ◽  
Pediatric Patient ◽  
Cerebrospinal Fluid Leak ◽  
Ethmoid Sinus ◽  
Rare Occurrence ◽  
Lamina Papyracea ◽  
The Right ◽  
Fluid Leak ◽  
Type Of Injury

Penetrating transorbital injury with skull base involvement is a rare occurrence from a crayon. We report a case of a 2-year-old male who sustained a penetrating crayon injury through the right orbit and lamina papyracea into the posterior ethmoid sinus complicated by cerebrospinal fluid leak. There have been no other reported cases of this type of injury by a crayon.

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