[内耳畸形所致脑脊液耳漏的诊断与治疗进展]
[Progress in diagnosis and treatment of cerebrospinal fluid otorrhea caused by inner ear malformation].
作者信息
Wu Hong, Cai Xinzhang
出版信息
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Nov;35(11):1048-1052. doi: 10.13201/j.issn.2096-7993.2021.11.019.
Abstract
Cerebrospinal fluid otorrhea caused by inner ear malformation is rare, and its clinical manifestations are atypical. Therefore, it can easy be misdiagnosed or missed. Recurrent meningitis caused by inner ear malformation can lead to serious complications. This article reviews the classification of inner ear malformation, the etiology the common fistula locations, clinical features, imaging features, surgical approaches, postoperative complications and influencing factors of surgical efficacy of cerebrospinal fluid otorrhea due to inner ear malformation.
摘要
内耳畸形引起的脑脊液耳漏较为罕见，其临床表现不典型，容易误诊或漏诊。内耳畸形引起的反复性脑膜炎可导致严重并发症。本文对内耳畸形的分类、病因、常见瘘口位置、临床特征、影像学特征、手术方式、脑脊液耳漏的术后并发症及手术疗效的影响因素进行综述。
相似文献
1
[Progress in diagnosis and treatment of cerebrospinal fluid otorrhea caused by inner ear malformation].
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Nov;35(11):1048-1052. doi: 10.13201/j.issn.2096-7993.2021.11.019.
2
Transcanal Endoscopic Management of Cerebrospinal Fluid Otorrhea Secondary to Congenital Inner Ear Malformations.
Otol Neurotol. 2016 Jan;37(1):62-5. doi: 10.1097/MAO.0000000000000898.
3
Cerebrospinal fluid otorrhea secondary to congenital inner ear dysplasia: diagnosis and management of 18 cases.
J Zhejiang Univ Sci B. 2019;20(2):156-163. doi: 10.1631/jzus.B1800224.
4
Fistula of stapes footplate caused by pulsatile cerebrospinal fluid in inner ear malformation.
ORL J Otorhinolaryngol Relat Spec. 1997 Mar-Apr;59(2):115-8. doi: 10.1159/000276920.
5
Simultaneous repair of cerebrospinal fluid otorrhea and cochlear implantation in two patients with recurrent meningitis and severe inner ear malformation.
Int J Pediatr Otorhinolaryngol. 2019 Sep;124:147-151. doi: 10.1016/j.ijporl.2019.05.045. Epub 2019 Jun 1.
6
[Malformation of the facial canal, meningitis and cerebrospinal otorrhea].
Ann Otolaryngol Chir Cervicofac. 1989;106(3):197-200.
7
[Malformation of the inner ear. Cerebrospinal otorrhea in stapedectomy].
Laryngol Rhinol Otol (Stuttg). 1986 Dec;65(12):688-90.
8
Mondini dysplasia of the inner ear with CSF leak-A rare cause of recurrent meningitis.
Indian Pediatr. 1999 Apr;36(4):401-6.
9
Congenital malformation of the inner ear associated with recurrent meningitis.
Eur Arch Otorhinolaryngol. 1999;256 Suppl 1:S11-4. doi: 10.1007/pl00014144.
10
Cerebrospinal fluid otorrhea and recurrent bacterial meningitis in a pediatric case with Mondini dysplasia.
Kulak Burun Bogaz Ihtis Derg. 2013 Jan-Feb;23(1):57-9. doi: 10.5606/kbbihtisas.2013.35762.
本文引用的文献
1
Management of stapes footplate fistula in inner ear malformations.
Int J Pediatr Otorhinolaryngol. 2021 Jan;140:110525. doi: 10.1016/j.ijporl.2020.110525. Epub 2020 Nov 26.
2
[Etiology and treatment strategy of spontaneous cerebrospinal fluid rhinorrhea].
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2020 Jun;34(6):573-576. doi: 10.13201/j.issn.2096-7993.2020.06.022.
3
Diagnosis and management of pediatric cerebrospinal fluid leakage secondary to inner ear malformations: A report of 13 cases.
Int J Pediatr Otorhinolaryngol. 2020 Aug;135:110049. doi: 10.1016/j.ijporl.2020.110049. Epub 2020 Apr 13.
4
Recurrent Meningitis in Congenital Inner Ear Malformation.
Ear Nose Throat J. 2021 Feb;100(1_suppl):38S-41S. doi: 10.1177/0145561320920399. Epub 2020 Apr 22.
5
Simultaneous repair of cerebrospinal fluid otorrhea and cochlear implantation in two patients with recurrent meningitis and severe inner ear malformation.
Int J Pediatr Otorhinolaryngol. 2019 Sep;124:147-151. doi: 10.1016/j.ijporl.2019.05.045. Epub 2019 Jun 1.
6
Cerebrospinal fluid otorrhea secondary to congenital inner ear dysplasia: diagnosis and management of 18 cases.
J Zhejiang Univ Sci B. 2019;20(2):156-163. doi: 10.1631/jzus.B1800224.
7
[Analysis of the diagnosis and treatment of cerebrospinal fluid otorrhea].
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2016 Apr 20;30(8):627-629; 632. doi: 10.13201/j.issn.1001-1781.2016.08.011.
8
Classification and Current Management of Inner Ear Malformations.
Balkan Med J. 2017 Sep 29;34(5):397-411. doi: 10.4274/balkanmedj.2017.0367. Epub 2017 Aug 25.
9
Long-term outcomes of a transmastoid lateral semicircular canal approach to congenital CSF otorrhea in children associated with recurrent meningitis and severe inner ear malformation.
Int J Pediatr Otorhinolaryngol. 2016 Aug;87:185-9. doi: 10.1016/j.ijporl.2016.05.026. Epub 2016 May 20.
10
Transcanal Endoscopic Management of Cerebrospinal Fluid Otorrhea Secondary to Congenital Inner Ear Malformations.
Otol Neurotol. 2016 Jan;37(1):62-5. doi: 10.1097/MAO.0000000000000898.
Zotero 插件