Temporal bone meningoencephaloceles and cerebrospinal fluid leaks: experience in a tertiary care hospital
To recount experience with cerebrospinal fluid otorrhoea and temporal bone meningoencephalocele repair in a tertiary care hospital. A retrospective review was conducted of 16 cerebrospinal fluid otorrhoea and meningoencephalic herniation patients managed surgically from 1991 to 2016. Aetiology was:...
Gespeichert in:
| Veröffentlicht in: | Journal of laryngology and otology 2019-03, Vol.133 (3), p.192-200 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 200 |
|---|---|
| container_issue | 3 |
| container_start_page | 192 |
| container_title | Journal of laryngology and otology |
| container_volume | 133 |
| creator | Gupta, A Sikka, K Irugu, D V K Verma, H Bhalla, A S Thakar, A |
| description | To recount experience with cerebrospinal fluid otorrhoea and temporal bone meningoencephalocele repair in a tertiary care hospital.
A retrospective review was conducted of 16 cerebrospinal fluid otorrhoea and meningoencephalic herniation patients managed surgically from 1991 to 2016.
Aetiology was: congenital (n = 3), post-traumatic (n = 2), spontaneous (n = 1) or post-mastoidectomy (n = 10). Surgical repair was undertaken by combined middle cranial fossa and transmastoid approach in 3 patients, transmastoid approach in 2, oval window plugging in 1, and subtotal petrosectomy with middle-ear obliteration in 10. All patients had successful long-term outcomes, except one, who experienced recurrence after primary stage oval window plugging, but has been recurrence-free after second-stage subtotal petrosectomy with middle-ear obliteration.
Dural injury or exposure in mastoidectomy may lead to cerebrospinal fluid otorrhoea or meningoencephalic herniation years later. Congenital, spontaneous and traumatic temporal bone defects may present similarly. Middle cranial fossa dural repair, transmastoid multilayer closure and subtotal petrosectomy with middle-ear obliteration were successful procedures. Subtotal petrosectomy with middle-ear obliteration offers advantages over middle cranial fossa dural repair alone; soft tissue closure is more robust and is preferred in situations where hearing preservation is not a priority. |
| doi_str_mv | 10.1017/S0022215119000203 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2183646384</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><cupid>10_1017_S0022215119000203</cupid><sourcerecordid>2209530727</sourcerecordid><originalsourceid>FETCH-LOGICAL-c439t-d3d13d45a1e596a4ee032284ad93ccb5848dcb9d4cc8fad0445e12e2f182c2c83</originalsourceid><addsrcrecordid>eNp1kU1LxDAQhoMo7rr6A7xIwIuXar7apt5k8QsWPLieS5pMd7P2y6QF_fem7KqgeJqBed53eGcQOqXkkhKaXj0TwhijMaUZCS3he2hKUyGjWCRkH03HcTTOJ-jI-01gaErYIZpwkqYp5dkU2SXUXetUhYu2AVxDY5tVC42Gbq2qVkMFHqvGYA0OCtf6zjYBLqvBGlyBevXXGN47cHbUYNtghXtwvVXuA2vlAK9HTa-qY3RQqsrDya7O0Mvd7XL-EC2e7h_nN4tIC571keGGciNiRSHOEiUACGdMCmUyrnURSyGNLjIjtJalMkSIGCgDVlLJNNOSz9DF1rdz7dsAvs9r60OOSjXQDj5nVPJEJFyKgJ7_Qjft4EK-QDGSxeFMLA0U3VI6xPcOyrxztg75ckry8Q_5nz8EzdnOeShqMN-Kr8MHgO9MVV04a1bws_t_2099PZKc</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2209530727</pqid></control><display><type>article</type><title>Temporal bone meningoencephaloceles and cerebrospinal fluid leaks: experience in a tertiary care hospital</title><source>Cambridge University Press Journals Complete</source><creator>Gupta, A ; Sikka, K ; Irugu, D V K ; Verma, H ; Bhalla, A S ; Thakar, A</creator><creatorcontrib>Gupta, A ; Sikka, K ; Irugu, D V K ; Verma, H ; Bhalla, A S ; Thakar, A</creatorcontrib><description>To recount experience with cerebrospinal fluid otorrhoea and temporal bone meningoencephalocele repair in a tertiary care hospital.
A retrospective review was conducted of 16 cerebrospinal fluid otorrhoea and meningoencephalic herniation patients managed surgically from 1991 to 2016.
Aetiology was: congenital (n = 3), post-traumatic (n = 2), spontaneous (n = 1) or post-mastoidectomy (n = 10). Surgical repair was undertaken by combined middle cranial fossa and transmastoid approach in 3 patients, transmastoid approach in 2, oval window plugging in 1, and subtotal petrosectomy with middle-ear obliteration in 10. All patients had successful long-term outcomes, except one, who experienced recurrence after primary stage oval window plugging, but has been recurrence-free after second-stage subtotal petrosectomy with middle-ear obliteration.
Dural injury or exposure in mastoidectomy may lead to cerebrospinal fluid otorrhoea or meningoencephalic herniation years later. Congenital, spontaneous and traumatic temporal bone defects may present similarly. Middle cranial fossa dural repair, transmastoid multilayer closure and subtotal petrosectomy with middle-ear obliteration were successful procedures. Subtotal petrosectomy with middle-ear obliteration offers advantages over middle cranial fossa dural repair alone; soft tissue closure is more robust and is preferred in situations where hearing preservation is not a priority.</description><identifier>ISSN: 0022-2151</identifier><identifier>EISSN: 1748-5460</identifier><identifier>DOI: 10.1017/S0022215119000203</identifier><identifier>PMID: 30777139</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Cerebrospinal fluid ; Defects ; Ear ; Ear diseases ; Encephalocele ; Etiology ; Fractures ; Keratin ; Main Articles ; Medical records ; Meninges ; Meningitis ; Otology ; Skull ; Surgery ; Surgical techniques ; Temporal bone ; Trauma ; Vertigo</subject><ispartof>Journal of laryngology and otology, 2019-03, Vol.133 (3), p.192-200</ispartof><rights>Copyright © JLO (1984) Limited, 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-d3d13d45a1e596a4ee032284ad93ccb5848dcb9d4cc8fad0445e12e2f182c2c83</citedby><cites>FETCH-LOGICAL-c439t-d3d13d45a1e596a4ee032284ad93ccb5848dcb9d4cc8fad0445e12e2f182c2c83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0022215119000203/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,780,784,27923,27924,55627</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30777139$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gupta, A</creatorcontrib><creatorcontrib>Sikka, K</creatorcontrib><creatorcontrib>Irugu, D V K</creatorcontrib><creatorcontrib>Verma, H</creatorcontrib><creatorcontrib>Bhalla, A S</creatorcontrib><creatorcontrib>Thakar, A</creatorcontrib><title>Temporal bone meningoencephaloceles and cerebrospinal fluid leaks: experience in a tertiary care hospital</title><title>Journal of laryngology and otology</title><addtitle>J. Laryngol. Otol</addtitle><description>To recount experience with cerebrospinal fluid otorrhoea and temporal bone meningoencephalocele repair in a tertiary care hospital.
A retrospective review was conducted of 16 cerebrospinal fluid otorrhoea and meningoencephalic herniation patients managed surgically from 1991 to 2016.
Aetiology was: congenital (n = 3), post-traumatic (n = 2), spontaneous (n = 1) or post-mastoidectomy (n = 10). Surgical repair was undertaken by combined middle cranial fossa and transmastoid approach in 3 patients, transmastoid approach in 2, oval window plugging in 1, and subtotal petrosectomy with middle-ear obliteration in 10. All patients had successful long-term outcomes, except one, who experienced recurrence after primary stage oval window plugging, but has been recurrence-free after second-stage subtotal petrosectomy with middle-ear obliteration.
Dural injury or exposure in mastoidectomy may lead to cerebrospinal fluid otorrhoea or meningoencephalic herniation years later. Congenital, spontaneous and traumatic temporal bone defects may present similarly. Middle cranial fossa dural repair, transmastoid multilayer closure and subtotal petrosectomy with middle-ear obliteration were successful procedures. Subtotal petrosectomy with middle-ear obliteration offers advantages over middle cranial fossa dural repair alone; soft tissue closure is more robust and is preferred in situations where hearing preservation is not a priority.</description><subject>Cerebrospinal fluid</subject><subject>Defects</subject><subject>Ear</subject><subject>Ear diseases</subject><subject>Encephalocele</subject><subject>Etiology</subject><subject>Fractures</subject><subject>Keratin</subject><subject>Main Articles</subject><subject>Medical records</subject><subject>Meninges</subject><subject>Meningitis</subject><subject>Otology</subject><subject>Skull</subject><subject>Surgery</subject><subject>Surgical techniques</subject><subject>Temporal bone</subject><subject>Trauma</subject><subject>Vertigo</subject><issn>0022-2151</issn><issn>1748-5460</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kU1LxDAQhoMo7rr6A7xIwIuXar7apt5k8QsWPLieS5pMd7P2y6QF_fem7KqgeJqBed53eGcQOqXkkhKaXj0TwhijMaUZCS3he2hKUyGjWCRkH03HcTTOJ-jI-01gaErYIZpwkqYp5dkU2SXUXetUhYu2AVxDY5tVC42Gbq2qVkMFHqvGYA0OCtf6zjYBLqvBGlyBevXXGN47cHbUYNtghXtwvVXuA2vlAK9HTa-qY3RQqsrDya7O0Mvd7XL-EC2e7h_nN4tIC571keGGciNiRSHOEiUACGdMCmUyrnURSyGNLjIjtJalMkSIGCgDVlLJNNOSz9DF1rdz7dsAvs9r60OOSjXQDj5nVPJEJFyKgJ7_Qjft4EK-QDGSxeFMLA0U3VI6xPcOyrxztg75ckry8Q_5nz8EzdnOeShqMN-Kr8MHgO9MVV04a1bws_t_2099PZKc</recordid><startdate>20190301</startdate><enddate>20190301</enddate><creator>Gupta, A</creator><creator>Sikka, K</creator><creator>Irugu, D V K</creator><creator>Verma, H</creator><creator>Bhalla, A S</creator><creator>Thakar, A</creator><general>Cambridge University Press</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20190301</creationdate><title>Temporal bone meningoencephaloceles and cerebrospinal fluid leaks: experience in a tertiary care hospital</title><author>Gupta, A ; Sikka, K ; Irugu, D V K ; Verma, H ; Bhalla, A S ; Thakar, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-d3d13d45a1e596a4ee032284ad93ccb5848dcb9d4cc8fad0445e12e2f182c2c83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Cerebrospinal fluid</topic><topic>Defects</topic><topic>Ear</topic><topic>Ear diseases</topic><topic>Encephalocele</topic><topic>Etiology</topic><topic>Fractures</topic><topic>Keratin</topic><topic>Main Articles</topic><topic>Medical records</topic><topic>Meninges</topic><topic>Meningitis</topic><topic>Otology</topic><topic>Skull</topic><topic>Surgery</topic><topic>Surgical techniques</topic><topic>Temporal bone</topic><topic>Trauma</topic><topic>Vertigo</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gupta, A</creatorcontrib><creatorcontrib>Sikka, K</creatorcontrib><creatorcontrib>Irugu, D V K</creatorcontrib><creatorcontrib>Verma, H</creatorcontrib><creatorcontrib>Bhalla, A S</creatorcontrib><creatorcontrib>Thakar, A</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of laryngology and otology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gupta, A</au><au>Sikka, K</au><au>Irugu, D V K</au><au>Verma, H</au><au>Bhalla, A S</au><au>Thakar, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Temporal bone meningoencephaloceles and cerebrospinal fluid leaks: experience in a tertiary care hospital</atitle><jtitle>Journal of laryngology and otology</jtitle><addtitle>J. Laryngol. Otol</addtitle><date>2019-03-01</date><risdate>2019</risdate><volume>133</volume><issue>3</issue><spage>192</spage><epage>200</epage><pages>192-200</pages><issn>0022-2151</issn><eissn>1748-5460</eissn><abstract>To recount experience with cerebrospinal fluid otorrhoea and temporal bone meningoencephalocele repair in a tertiary care hospital.
A retrospective review was conducted of 16 cerebrospinal fluid otorrhoea and meningoencephalic herniation patients managed surgically from 1991 to 2016.
Aetiology was: congenital (n = 3), post-traumatic (n = 2), spontaneous (n = 1) or post-mastoidectomy (n = 10). Surgical repair was undertaken by combined middle cranial fossa and transmastoid approach in 3 patients, transmastoid approach in 2, oval window plugging in 1, and subtotal petrosectomy with middle-ear obliteration in 10. All patients had successful long-term outcomes, except one, who experienced recurrence after primary stage oval window plugging, but has been recurrence-free after second-stage subtotal petrosectomy with middle-ear obliteration.
Dural injury or exposure in mastoidectomy may lead to cerebrospinal fluid otorrhoea or meningoencephalic herniation years later. Congenital, spontaneous and traumatic temporal bone defects may present similarly. Middle cranial fossa dural repair, transmastoid multilayer closure and subtotal petrosectomy with middle-ear obliteration were successful procedures. Subtotal petrosectomy with middle-ear obliteration offers advantages over middle cranial fossa dural repair alone; soft tissue closure is more robust and is preferred in situations where hearing preservation is not a priority.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>30777139</pmid><doi>10.1017/S0022215119000203</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0022-2151 |
| ispartof | Journal of laryngology and otology, 2019-03, Vol.133 (3), p.192-200 |
| issn | 0022-2151 1748-5460 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2183646384 |
| source | Cambridge University Press Journals Complete |
| subjects | Cerebrospinal fluid Defects Ear Ear diseases Encephalocele Etiology Fractures Keratin Main Articles Medical records Meninges Meningitis Otology Skull Surgery Surgical techniques Temporal bone Trauma Vertigo |
| title | Temporal bone meningoencephaloceles and cerebrospinal fluid leaks: experience in a tertiary care hospital |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-11T21%3A51%3A20IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Temporal%20bone%20meningoencephaloceles%20and%20cerebrospinal%20fluid%20leaks:%20experience%20in%20a%20tertiary%20care%20hospital&rft.jtitle=Journal%20of%20laryngology%20and%20otology&rft.au=Gupta,%20A&rft.date=2019-03-01&rft.volume=133&rft.issue=3&rft.spage=192&rft.epage=200&rft.pages=192-200&rft.issn=0022-2151&rft.eissn=1748-5460&rft_id=info:doi/10.1017/S0022215119000203&rft_dat=%3Cproquest_cross%3E2209530727%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2209530727&rft_id=info:pmid/30777139&rft_cupid=10_1017_S0022215119000203&rfr_iscdi=true |