Wong C Y, Khairi M D M, Mohamed S A, Irfan M
USM, Institution: Department of Otorhinolaryngology, School of Medical Sciences, Health Campus, 16150 Kubang Kerian, Kelantan, Malaysia.
Med J Malaysia. 2010 Dec;65(4):307-8.
Dural exposure may occur during the course of thinning the tegmen tympani and tegmen mastoideum in mastoid procedure. If large area of dura is exposed or lacerated, cerebrospinal fluid and brain herniation may enter the mastoid cavity. We report a case of a patient with injured dura mater and tegmen mastoideum during mastoidectomy for chronic suppurative otitis media with cholesteatoma managed by using DuraGen. The dura mater and tegmen defect healed totally showing the success of the procedure. A collagen matrix like DuraGen is an option for repairing dural tear in mastoid region.
在乳突手术中,在磨薄鼓室盖和乳突盖的过程中可能会发生硬脑膜暴露。如果大面积的硬脑膜暴露或撕裂,脑脊液和脑疝可能会进入乳突腔。我们报告一例在慢性化脓性中耳炎伴胆脂瘤乳突切除术中硬脑膜和乳突盖受损的患者,使用DuraGen进行治疗。硬脑膜和乳突盖缺损完全愈合,表明手术成功。像DuraGen这样的胶原基质是修复乳突区域硬脑膜撕裂的一种选择。