Abramson M, McMurtry J G, Kadis G
Laryngoscope. 1979 Jun;89(6 Pt 1):918-21. doi: 10.1288/00005537-197906000-00007.
We report a combined otoneurosurgical approach in the treatment of a patient with meningitis due to an arachnoid cyst, extending through the dura and petrous bone into the middle ear. The combination of mastoid surgery and temporal craniotomy including opening the dura was necessary to determine the nature of the problem, excise the disease and repair the defects. Two recent cases at our Institution of cerebrospinal otorhinorrhea and chronic ear disease illustrate the difficulty in carrying out definitive repair of dural defects from within the mastoid cavity. Case 2 had three bouts of meningitis and two brain abscesses separated by 25 years. Case 3 had eight bouts of meningitis in 19 years. The authors recommend at otoneurosurgical team approach in patients with cerebrospinal otorhinorrhea permitting treatment of the temporal bone, dura and brain.
我们报告了一种联合耳神经外科手术方法，用于治疗一名因蛛网膜囊肿导致脑膜炎的患者，该囊肿穿过硬脑膜和岩骨延伸至中耳。乳突手术和颞骨开颅术（包括打开硬脑膜）相结合对于确定问题的性质、切除病变以及修复缺损是必要的。我们机构最近的两例脑脊液耳鼻漏和慢性耳病病例说明了从乳突腔内对硬脑膜缺损进行确定性修复的困难。病例2在25年的时间里发生了三次脑膜炎发作和两次脑脓肿。病例3在19年的时间里发生了八次脑膜炎发作。作者建议对于脑脊液耳鼻漏患者采用耳神经外科团队方法，以便对颞骨、硬脑膜和脑部进行治疗。
