Total Endoscopic Ear Surgery in management of cochleocele: A case series

Cochleocele is an extrusion or herniation of the endosteum, through an incomplete stapes footplate, into the middle ear. The cochleocele may rupture resulting in a cerebrospinal fluid leak into the middle ear space causing a risk of menigitis. We report six cases of Incomplete Partition Type I with...

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Veröffentlicht in:	International journal of pediatric otorhinolaryngology 2020-08, Vol.135, p.110109-110109, Article 110109
Hauptverfasser:	Mok, F., Leonard, C.G., Adams, M.A., Trimble, K., Papsin, B.C., James, A.L., Isaacson, B.
Format:	Artikel
Sprache:	eng
Schlagworte:	Cerebrospinal Fluid Leak - prevention & control Child Child, Preschool Ear, Middle - diagnostic imaging Ear, Middle - surgery Endoscopic ear surgery Endoscopy Female Herniorrhaphy - methods Humans Incomplete partition Infant Inner ear malformations Male Meningitis, Bacterial - etiology Otologic Surgical Procedures - adverse effects Otologic Surgical Procedures - methods Postoperative Complications Pseudomonas Infections - etiology Stapes - abnormalities
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Zusammenfassung:	Cochleocele is an extrusion or herniation of the endosteum, through an incomplete stapes footplate, into the middle ear. The cochleocele may rupture resulting in a cerebrospinal fluid leak into the middle ear space causing a risk of menigitis. We report six cases of Incomplete Partition Type I with cochleocele which have all been successfully treated using a Totally Endoscopic Ear Surgery approach even during infancy. As the first two cases developed post-operative pseudomonas meningitis, preventative strategies are recommended.
ISSN:	0165-5876 1872-8464
DOI:	10.1016/j.ijporl.2020.110109