Kim Joo Yeon, Oh Jung Ho, Kwon Jae Hwan
Department of Otolaryngology-Head and Neck Surgery, Kosin University College of Medicine, Busan, Korea.
J Craniofac Surg. 2013 Jul;24(4):e370-2. doi: 10.1097/SCS.0b013e3182902f68.
Middle ear inflation procedures are widely used for diagnosis and treatment of middle ear disease. Although its values are controversial, it is used in testing eustachian tube function or treating middle ear diseases, such as effusions or atelectasis. Physicians rarely experience complications with this procedure; thus, complications following middle ear inflation are rare. Known adverse effects of middle ear inflation procedures include pneumocele, brain hematoma, and air embolization. Pneumocephalus is one of the rare complications of middle ear inflation. It is a potentially fatal condition, and although middle ear inflation is used around the world, it is rarely encountered by general physicians and even otolaryngologists. We report a case of pneumocephalus that occurred immediately following a middle ear inflation procedure using a pneumatic otoscope with myringotomy (paracentesis).
中耳充气术广泛应用于中耳疾病的诊断和治疗。尽管其价值存在争议，但它被用于测试咽鼓管功能或治疗中耳疾病，如积液或肺不张。医生很少经历该手术的并发症；因此，中耳充气术后的并发症很少见。已知中耳充气术的不良反应包括气囊肿、脑血肿和气栓形成。气颅是中耳充气术罕见的并发症之一。它是一种潜在的致命疾病，尽管中耳充气术在世界各地都有使用，但普通医生甚至耳鼻喉科医生很少遇到。我们报告一例在使用带鼓膜切开术（穿刺术）的气动耳镜进行中耳充气术后立即发生气颅的病例。
