Surgical Treatment of Spontaneous Meningocele of the Temporal Bone Causing a Pulsatile Tinnitus / 대한이비인후과학회지
Korean Journal of Otolaryngology - Head and Neck Surgery
;
: 308-311, 2011.
Artigo
em Coreano
| WPRIM
| ID: wpr-645234
ABSTRACT
A meningocele is a protrusion of meninges through a defect in the skull base. It is a rare but potentially life-threatening condition requiring surgery. It can present with conductive hearing loss, persistent middle ear effusion, cerebrospinal fluid otorrhea, recurrent meningitis, and epilepsy. We report a patient who presented with a three-year history of intermittent pulsatile tinnitus in her left ear. She had clear middle ear effusion and radiological evaluations suggesting an attic cholesteatoma. She underwent a tympanomastoidectomy and we discovered a meningocele in the epitympanum and a bony defect of the tegmen tympani. We easily restored the meningocele using a microelevator and bolstered the bone with temporalis fascia, conchal cartilage and musculoperiosteal flap. There was no evidence of cerebrospinal fluid leakage and the patient's tinnitus disappeared six months after the operation.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Osso Temporal
/
Zumbido
/
Otite Média com Derrame
/
Cartilagem
/
Otorreia de Líquido Cefalorraquidiano
/
Colesteatoma
/
Base do Crânio
/
Orelha
/
Epilepsia
/
Fáscia
Limite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Otolaryngology - Head and Neck Surgery
Ano de publicação:
2011
Tipo de documento:
Artigo
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