Claros Pedro, Matusialk Monika
Klinika Otolaryngologii, Szpital Uniwersytecki San Joan de Deu, Barcelona.
Otolaryngol Pol. 2008;62(3):340-3. doi: 10.1016/s0030-6657(08)70267-1.
Authors present two cases of children with reccurent meningitis and unilateral deafness. Implemented diagnostics (CT, NMR, ABR) revealed one side inner ear congenital malformation in one case and anterior fossa bony defect accompanied by labirynthine deformation in the other case. The presence of perilymphatic fistulae in oval and round windows and cerebrospinal fluid leakage has been confirmed in both cases during surgery. Carefull obliteration of the Eustachian tube and both windows has been performed. Non- complicated postoperative course (2 months and 6 years - respectively) has prooved the effectiveness of applied treatment.
作者介绍了两例复发性脑膜炎并单侧耳聋的儿童病例。实施的诊断(CT、核磁共振成像、听性脑干反应)显示,一例为一侧内耳先天性畸形,另一例为前颅窝骨缺损伴迷路变形。手术中证实两例均存在椭圆窗和圆窗的外淋巴瘘及脑脊液漏。已对咽鼓管和两个窗口进行了仔细封闭。术后恢复顺利(分别为2个月和6年),证明了所采用治疗方法的有效性。