Mondini发育不全中反常性脑脊液鼻漏的诊断与管理
Diagnosis and Management of Paradoxical Cerebrospinal Rhinnorhea in Mondini's Dysplasia.
作者信息
Mohanraj Lekhaa, Chinnusamy Rayappa
机构信息
Department of ENT, Shri Sathya Sai Medical College, Ammapettai, Tamilnadu India.
ENT, Head and Neck and Skullbase Surgery, Apollo Cancer Center, Chennai, Tamilnadu India.
出版信息
Indian J Otolaryngol Head Neck Surg. 2024 Oct;76(5):4851-4854. doi: 10.1007/s12070-024-04903-5. Epub 2024 Jul 23.
OBJECTIVES
To highlight a case of unilateral Mondini's dysplasia and it's potential to manifest as paradoxical cerebrospinal fluid (CSF) rhinorrhoea and recurrent meningitis in an adult.
METHODS
A single case report with presentation and management of a patient with left sided Mondini's Dysplasia who presented with watery nasal discharge in the background of recurrent meningitis. We review the differential diagnoses and the importance of a multi-disciplinary approach to management.
RESULTS
Post-auricular approach was taken and the leak was identified at the footplate of Stapes and sealed with fascia lata. The middle ear was obliterated and blind sac closure was done. The patient made a good recovery.
SUPPLEMENTARY INFORMATION
The online version contains supplementary material available at 10.1007/s12070-024-04903-5.
目的
重点介绍一例单侧Mondini发育异常病例，及其在成人中表现为矛盾性脑脊液鼻漏和复发性脑膜炎的可能性。
方法
一份关于一名左侧Mondini发育异常患者的病例报告，该患者在复发性脑膜炎背景下出现水样鼻分泌物。我们回顾了鉴别诊断以及多学科管理方法的重要性。
结果
采用耳后入路，在镫骨足板处发现漏口，并用阔筋膜进行封闭。中耳被闭塞，并进行了盲袋封闭。患者恢复良好。
补充信息
在线版本包含可在10.1007/s12070-024-04903-5获取的补充材料。
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