Arìstegui M, Falcioni M, Saleh E, Taibah A, Russo A, Landolfi M, Sanna M
Servicio ORL, Hospital Central Cruz Roja, Madrid.
Laryngoscope. 1995 May;105(5 Pt 1):512-8. doi: 10.1288/00005537-199505000-00013.
Meningoencephalic herniation into the middle ear is a rare and potentially life-threatening condition that may require prompt surgical intervention. Preoperative diagnosis is based on a high index of suspicion. Sometimes, however, meningoencephalic herniation is discovered during surgery. High-resolution computed tomography and magnetic resonance imaging should be performed to confirm the diagnosis and to evaluate the extension of the herniated tissue. This article discusses the diagnostic approach, management strategy, and surgical technique used in 27 patients with meningoencephalic herniation. In an attempt to avoid infective complications, the authors used the middle cranial approach in patients with large herniations.
脑膜脑疝入中耳是一种罕见且可能危及生命的疾病，可能需要及时进行手术干预。术前诊断基于高度的怀疑指数。然而，有时脑膜脑疝在手术过程中才被发现。应进行高分辨率计算机断层扫描和磁共振成像以确诊并评估疝出组织的范围。本文讨论了27例脑膜脑疝患者的诊断方法、治疗策略和手术技术。为避免感染并发症，作者对大疝出患者采用了中颅窝入路。
