Long-term outcomes of a transmastoid lateral semicircular canal approach to congenital CSF otorrhea in children associated with recurrent meningitis and severe inner ear malformation
| Autor: | Xinping Hao, Shubin Chen, Wang Jie, Yongxin Li |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Craniofacial abnormality Mastoid Meningitis Bacterial Craniofacial Abnormalities 03 medical and health sciences 0302 clinical medicine Cerebrospinal fluid Recurrence Recurrent meningitis medicine Paralysis Cerebrospinal Fluid Otorrhea Humans 030223 otorhinolaryngology Child Retrospective Studies business.industry Infant General Medicine medicine.disease Facial nerve Semicircular Canals Surgery Treatment Outcome Otorhinolaryngology Child Preschool Ear Inner Pediatrics Perinatology and Child Health Female Vestibule Labyrinth medicine.symptom business Complication Meningitis 030217 neurology & neurosurgery |
| Zdroj: | International journal of pediatric otorhinolaryngology. 87 |
| ISSN: | 1872-8464 |
| Popis: | Objective To investigate the long-term effectiveness of transmastoid lateral semicircular canal approach (TMLSCCA) to repair cerebrospinal fluid (CSF) leakage in children associated with recurrent meningitis and severe congenital inner malformation. Method A retrospective study was conducted in a university hospital, academic medical center. Fifteen children with recurrent meningitis, secondary to severe congenital inner ear malformation, were included in the study. All of them had CSF associated otorrhea and treated using TLSCCA to repair CSF otorrhea by packing the vestibule with muscle and fascia. Observation of the status of postoperative CSF leakage, recurrence of meningitis and complication were conducted. Results None of the cases had recurrent meningitis and CSF leakage after their TLSCCA procedure in the follow-up period of 1–8.5 years. One case presented with transient facial nerve paralysis and completely recovered 3 months later. Conclusion TLSCCA for CSF otorrhea in children with recurrent meningitis secondary to congenital inner ear malformation is an alternative approach that offers some advantages. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect