Brain herniation into the middle ear and mastoid: concepts in diagnosis and surgical management
To review the occurrence characteristics of and clinical repair experience with brain herniation in to the middle ear and mastoid from 1970-1995. Retrospective chart/case review. Private Otology/Neurotology referral practice. Thirty-five patients with temporal bone brain herniation diagnosed and tre...
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| Veröffentlicht in: | The American journal of otology (New York, N.Y.) N.Y.), 1997-03, Vol.18 (2), p.198-205; discussion 205-6 |
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| container_end_page | 205; discussion 205-6 |
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| container_issue | 2 |
| container_start_page | 198 |
| container_title | The American journal of otology (New York, N.Y.) |
| container_volume | 18 |
| creator | Jackson, C G Pappas, Jr, D G Manolidis, S Glasscock, 3rd, M E Von Doersten, P G Hampf, C R Williams, J B Storper, I S |
| description | To review the occurrence characteristics of and clinical repair experience with brain herniation in to the middle ear and mastoid from 1970-1995.
Retrospective chart/case review.
Private Otology/Neurotology referral practice.
Thirty-five patients with temporal bone brain herniation diagnosed and treated from 1970-1995.
Diagnosis confirmed by CT and/or MRI. Treatment was surgical.
Success of surgical repair of the problem in a large experience with follow-up of up to 180 months (mean, 48.7 months).
Diagnosis is most effectively made by both (computed tomography (CT) and magnetic resonance imaging (MRI). In this series diagnosis was accurate in 89% with MRI. Primary repair was successful in all but three patients, two of whom required a second repair. One was unreconstructable.
Temporal bone encephaloceles occur after ear surgery and in chronic otitis media. Prompt and effective surgical repair is successful and integral to complication avoidance. |
| format | Article |
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Retrospective chart/case review.
Private Otology/Neurotology referral practice.
Thirty-five patients with temporal bone brain herniation diagnosed and treated from 1970-1995.
Diagnosis confirmed by CT and/or MRI. Treatment was surgical.
Success of surgical repair of the problem in a large experience with follow-up of up to 180 months (mean, 48.7 months).
Diagnosis is most effectively made by both (computed tomography (CT) and magnetic resonance imaging (MRI). In this series diagnosis was accurate in 89% with MRI. Primary repair was successful in all but three patients, two of whom required a second repair. One was unreconstructable.
Temporal bone encephaloceles occur after ear surgery and in chronic otitis media. Prompt and effective surgical repair is successful and integral to complication avoidance.</description><identifier>ISSN: 0192-9763</identifier><identifier>PMID: 9093677</identifier><language>eng</language><publisher>United States</publisher><subject>Adult ; Aged ; Child ; Chronic Disease ; Ear, Middle - pathology ; Ear, Middle - surgery ; Encephalocele - etiology ; Encephalocele - pathology ; Encephalocele - surgery ; Female ; Follow-Up Studies ; Humans ; Infant ; Magnetic Resonance Imaging ; Male ; Mastoid - surgery ; Middle Aged ; Otitis Media - complications ; Otitis Media - pathology ; Otitis Media - surgery ; Postoperative Complications ; Retrospective Studies ; Tomography, X-Ray Computed</subject><ispartof>The American journal of otology (New York, N.Y.), 1997-03, Vol.18 (2), p.198-205; discussion 205-6</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9093677$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jackson, C G</creatorcontrib><creatorcontrib>Pappas, Jr, D G</creatorcontrib><creatorcontrib>Manolidis, S</creatorcontrib><creatorcontrib>Glasscock, 3rd, M E</creatorcontrib><creatorcontrib>Von Doersten, P G</creatorcontrib><creatorcontrib>Hampf, C R</creatorcontrib><creatorcontrib>Williams, J B</creatorcontrib><creatorcontrib>Storper, I S</creatorcontrib><title>Brain herniation into the middle ear and mastoid: concepts in diagnosis and surgical management</title><title>The American journal of otology (New York, N.Y.)</title><addtitle>Am J Otol</addtitle><description>To review the occurrence characteristics of and clinical repair experience with brain herniation in to the middle ear and mastoid from 1970-1995.
Retrospective chart/case review.
Private Otology/Neurotology referral practice.
Thirty-five patients with temporal bone brain herniation diagnosed and treated from 1970-1995.
Diagnosis confirmed by CT and/or MRI. Treatment was surgical.
Success of surgical repair of the problem in a large experience with follow-up of up to 180 months (mean, 48.7 months).
Diagnosis is most effectively made by both (computed tomography (CT) and magnetic resonance imaging (MRI). In this series diagnosis was accurate in 89% with MRI. Primary repair was successful in all but three patients, two of whom required a second repair. One was unreconstructable.
Temporal bone encephaloceles occur after ear surgery and in chronic otitis media. Prompt and effective surgical repair is successful and integral to complication avoidance.</description><subject>Adult</subject><subject>Aged</subject><subject>Child</subject><subject>Chronic Disease</subject><subject>Ear, Middle - pathology</subject><subject>Ear, Middle - surgery</subject><subject>Encephalocele - etiology</subject><subject>Encephalocele - pathology</subject><subject>Encephalocele - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Infant</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Mastoid - surgery</subject><subject>Middle Aged</subject><subject>Otitis Media - complications</subject><subject>Otitis Media - pathology</subject><subject>Otitis Media - surgery</subject><subject>Postoperative Complications</subject><subject>Retrospective Studies</subject><subject>Tomography, X-Ray Computed</subject><issn>0192-9763</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNot0DFPwzAQBWAPoFIKPwHJE1skO5c6NhtUQJEqscAcOfYlNUrsYDsD_54IMt3y6em9uyBbxlVZqFrAFblO6YsxvgdgG7JRTIGo6y1pnqJ2np4xeqezC546nwPNZ6Sjs3ZAijpS7S0ddcrB2Qdqgjc45bRIap3ufUgu_ZE0x94ZPSzW6x5H9PmGXHZ6SHi73h35fHn-OByL0_vr2-HxVEwlE7kAKcRSibdY2T0TXQdVJVpoZVvyZURbWVmDUWjQAnBTGw5cMqskKyVn2sCO3P_nTjF8z5hyM7pkcBi0xzCnppaKM1nxBd6tcG5HtM0U3ajjT7N-BH4B-Sxb1g</recordid><startdate>199703</startdate><enddate>199703</enddate><creator>Jackson, C G</creator><creator>Pappas, Jr, D G</creator><creator>Manolidis, S</creator><creator>Glasscock, 3rd, M E</creator><creator>Von Doersten, P G</creator><creator>Hampf, C R</creator><creator>Williams, J B</creator><creator>Storper, I S</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>199703</creationdate><title>Brain herniation into the middle ear and mastoid: concepts in diagnosis and surgical management</title><author>Jackson, C G ; Pappas, Jr, D G ; Manolidis, S ; Glasscock, 3rd, M E ; Von Doersten, P G ; Hampf, C R ; Williams, J B ; Storper, I S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p206t-38660931be4d506ff3446b3b8b21019b4d873c9eced331c7c13180d9802810ac3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Child</topic><topic>Chronic Disease</topic><topic>Ear, Middle - pathology</topic><topic>Ear, Middle - surgery</topic><topic>Encephalocele - etiology</topic><topic>Encephalocele - pathology</topic><topic>Encephalocele - surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Infant</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Mastoid - surgery</topic><topic>Middle Aged</topic><topic>Otitis Media - complications</topic><topic>Otitis Media - pathology</topic><topic>Otitis Media - surgery</topic><topic>Postoperative Complications</topic><topic>Retrospective Studies</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jackson, C G</creatorcontrib><creatorcontrib>Pappas, Jr, D G</creatorcontrib><creatorcontrib>Manolidis, S</creatorcontrib><creatorcontrib>Glasscock, 3rd, M E</creatorcontrib><creatorcontrib>Von Doersten, P G</creatorcontrib><creatorcontrib>Hampf, C R</creatorcontrib><creatorcontrib>Williams, J B</creatorcontrib><creatorcontrib>Storper, I S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>The American journal of otology (New York, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jackson, C G</au><au>Pappas, Jr, D G</au><au>Manolidis, S</au><au>Glasscock, 3rd, M E</au><au>Von Doersten, P G</au><au>Hampf, C R</au><au>Williams, J B</au><au>Storper, I S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Brain herniation into the middle ear and mastoid: concepts in diagnosis and surgical management</atitle><jtitle>The American journal of otology (New York, N.Y.)</jtitle><addtitle>Am J Otol</addtitle><date>1997-03</date><risdate>1997</risdate><volume>18</volume><issue>2</issue><spage>198</spage><epage>205; discussion 205-6</epage><pages>198-205; discussion 205-6</pages><issn>0192-9763</issn><abstract>To review the occurrence characteristics of and clinical repair experience with brain herniation in to the middle ear and mastoid from 1970-1995.
Retrospective chart/case review.
Private Otology/Neurotology referral practice.
Thirty-five patients with temporal bone brain herniation diagnosed and treated from 1970-1995.
Diagnosis confirmed by CT and/or MRI. Treatment was surgical.
Success of surgical repair of the problem in a large experience with follow-up of up to 180 months (mean, 48.7 months).
Diagnosis is most effectively made by both (computed tomography (CT) and magnetic resonance imaging (MRI). In this series diagnosis was accurate in 89% with MRI. Primary repair was successful in all but three patients, two of whom required a second repair. One was unreconstructable.
Temporal bone encephaloceles occur after ear surgery and in chronic otitis media. Prompt and effective surgical repair is successful and integral to complication avoidance.</abstract><cop>United States</cop><pmid>9093677</pmid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0192-9763 |
| ispartof | The American journal of otology (New York, N.Y.), 1997-03, Vol.18 (2), p.198-205; discussion 205-6 |
| issn | 0192-9763 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_78910841 |
| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Aged Child Chronic Disease Ear, Middle - pathology Ear, Middle - surgery Encephalocele - etiology Encephalocele - pathology Encephalocele - surgery Female Follow-Up Studies Humans Infant Magnetic Resonance Imaging Male Mastoid - surgery Middle Aged Otitis Media - complications Otitis Media - pathology Otitis Media - surgery Postoperative Complications Retrospective Studies Tomography, X-Ray Computed |
| title | Brain herniation into the middle ear and mastoid: concepts in diagnosis and surgical management |
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