Transmastoid Approach to Spontaneous Temporal Bone CSF Leaks: Hearing Improvement and Success of Repair

2013 ◽  
Vol 149 (2_suppl) ◽  
pp. P111-P112
Author(s):  
Leslie Kim ◽  
Clayton E. Wisely ◽  
Edward E. Dodson
2011 ◽  
Vol 3 (1) ◽  
pp. 31-41 ◽  
Author(s):  
Werner Garavello ◽  
Lorenzo Gaini ◽  
Diego Zanetti

ABSTRACT This paper reviews the diagnosis and treatment of temporal bone meningoencephaloceles, defined as the herniation of meninges or brain tissue into empty spaces within the temporal bone, i.e. tympanic or mastoid cavity, through the tegmen tympani or antri respectively. It also describes the current methods of control of cerebrospinal fluid (CSF) leaks, which commonly present as serous otorrhea or rhinorrhea in addition to a variety of symptoms, such as conductive hearing loss. Imaging is the mainstay of the diagnostic process. Management of the condition is surgical, and this review outlines the surgical options with special emphasis on the transmastoid approach and the materials applicable for repair of the bony dehiscences.


2020 ◽  
Author(s):  
Mohamedkazim M. Alwani ◽  
Mohamad Z. Saltagi ◽  
Margaret E. MacPhail ◽  
Rick F. Nelson

1958 ◽  
Vol 67 (2) ◽  
pp. 156-166
Author(s):  
S. NIHO ◽  
M. NIHO ◽  
M. FURUYA ◽  
K. YASUDA ◽  
H. KUDO

2010 ◽  
Vol 143 (2_suppl) ◽  
pp. P98-P98
Author(s):  
Sepehr Oliaei ◽  
Hamid Djalilian
Keyword(s):  

2020 ◽  
Vol 7 (12) ◽  
pp. 750-753
Author(s):  
Alexandros Poutoglidis ◽  
Pavlos Pavlidis ◽  
Georgios Katsilis ◽  
Gregory Alexander Schittek:

Objective:    Meningoencephaloceles of the temporal bone are rare entities. There are two main categories, congenital and acquired. Acquired meningoencephaloceles are more common due to iatrogenic injury to the tegmen tympani which is a common complication during mastoidectomy. Case Presentation: We present a case of an idiopathic meningoencephalocele that was diagnosed and treated successfully during cochlear implantation via transmastoid approach. Fascia lata graft was used to reconstruct the deficit of tegmen tympani. Audiological outcome has been improved. Conclusions: Idiopathic Meningoencephaloceles present without specific clinical symptomatology and as a result diagnosis delay significant. In literature, there are various surgical approaches with mixed results.


2012 ◽  
Vol 126 (3) ◽  
pp. 313-315 ◽  
Author(s):  
V Van Rompaey ◽  
E Offeciers ◽  
B De Foer ◽  
T Somers

AbstractObjectives:To demonstrate the need for computed tomography imaging of the temporal bone before considering revision stapes surgery in patients with recurrent or residual conductive hearing loss.Case report:We report the case of a high-riding jugular bulb with an associated jugular bulb diverticulum, which was dehiscent towards the vestibular aqueduct, in a patient with confirmed otosclerosis who did not experience hearing improvement after stapedotomy.Conclusion:This case demonstrates the usefulness of temporal bone computed tomography in the evaluation of patients with otosclerosis in whom stapedotomy has not improved hearing. In such patients, revision surgery to address residual hearing loss would eventually prove unnecessary and avoidable.


2015 ◽  
Vol 135 (3) ◽  
pp. 307-311 ◽  
Author(s):  
Yang Liu ◽  
Shuo Liu ◽  
Jinrang Li ◽  
Xi Chen ◽  
Jianjun Sun ◽  
...  

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