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Lateral petrosectomy with obliteration cavity for spontaneous cerebrospinal otorrhea in children.
Am J Otolaryngol. 2014 Sep-Oct; 35(5):651-4.AJ

Abstract

PURPOSE

The most common causative factors of CSF otorrhea in children are injuries and congenital abnormalities of the temporal bone. Spontaneous CSF leak as a consequence of congenital temporal bone defects may result in recurrent meningitis. Diagnosis and management of such an entity are particularly difficult in early childhood.

MATERIALS AND METHODS

The aim of this study was to investigate clinical features and to discuss possible methods of treatment of spontaneous CSF otorrhea in children.

RESULTS

Severe unilateral sensorineural hearing loss or total deafness was found in children with CSF otorrhea. CT and MRI of the temporal bones revealed dehiscences in the walls of the tympanic cavity and defects of the inner ear, which were confirmed intraoperatively. Lateral petrosectomy and closure of the fistula with muscle tissue and fat obliteration cavity were performed. The children remain free of otorrhea and recurrences of meningitis.

CONCLUSION

The diagnosis of spontaneous otorrhea in children is based on the severe unilateral sensorineural hearing loss and presence of CSF in the middlę ear cavity. It may be successfully treated by means of lateral petrosectomy with obliteration of the vestibule with muscle tissue and tympanic cavity with fat tissue.

Authors+Show Affiliations

Department of Otolaryngology Medical University in Gdańsk, Dębinki 7, Gdańsk. Electronic address: jerzyk@gumed.edu.pl.Department of Otolaryngology Medical University in Warsaw, Banacha 1a, Warszawa.Department of Otolaryngology Medical University in Gdańsk, Dębinki 7, Gdańsk.Department of Children Neurology Medical University of Gdańsk, Dębinki 7, Gdańsk.II Department Radiology Medical University of Gdańsk, Dębinki 7, 80-211 Gdańsk.Department of Otolaryngology Medical University in Gdańsk, Dębinki 7, Gdańsk.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

25086707

Citation

Kuczkowski, Jerzy, et al. "Lateral Petrosectomy With Obliteration Cavity for Spontaneous Cerebrospinal Otorrhea in Children." American Journal of Otolaryngology, vol. 35, no. 5, 2014, pp. 651-4.
Kuczkowski J, Niemczyk K, Stankiewicz C, et al. Lateral petrosectomy with obliteration cavity for spontaneous cerebrospinal otorrhea in children. Am J Otolaryngol. 2014;35(5):651-4.
Kuczkowski, J., Niemczyk, K., Stankiewicz, C., Pilarska, E., Szurowska, E., & Plichta, L. (2014). Lateral petrosectomy with obliteration cavity for spontaneous cerebrospinal otorrhea in children. American Journal of Otolaryngology, 35(5), 651-4. https://doi.org/10.1016/j.amjoto.2014.06.010
Kuczkowski J, et al. Lateral Petrosectomy With Obliteration Cavity for Spontaneous Cerebrospinal Otorrhea in Children. Am J Otolaryngol. 2014 Sep-Oct;35(5):651-4. PubMed PMID: 25086707.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Lateral petrosectomy with obliteration cavity for spontaneous cerebrospinal otorrhea in children. AU - Kuczkowski,Jerzy, AU - Niemczyk,Kazimierz, AU - Stankiewicz,Czesław, AU - Pilarska,Ewa, AU - Szurowska,Edyta, AU - Plichta,Lukasz, Y1 - 2014/07/02/ PY - 2014/02/19/received PY - 2014/06/12/revised PY - 2014/06/27/accepted PY - 2014/8/4/entrez PY - 2014/8/5/pubmed PY - 2015/5/20/medline SP - 651 EP - 4 JF - American journal of otolaryngology JO - Am J Otolaryngol VL - 35 IS - 5 N2 - PURPOSE: The most common causative factors of CSF otorrhea in children are injuries and congenital abnormalities of the temporal bone. Spontaneous CSF leak as a consequence of congenital temporal bone defects may result in recurrent meningitis. Diagnosis and management of such an entity are particularly difficult in early childhood. MATERIALS AND METHODS: The aim of this study was to investigate clinical features and to discuss possible methods of treatment of spontaneous CSF otorrhea in children. RESULTS: Severe unilateral sensorineural hearing loss or total deafness was found in children with CSF otorrhea. CT and MRI of the temporal bones revealed dehiscences in the walls of the tympanic cavity and defects of the inner ear, which were confirmed intraoperatively. Lateral petrosectomy and closure of the fistula with muscle tissue and fat obliteration cavity were performed. The children remain free of otorrhea and recurrences of meningitis. CONCLUSION: The diagnosis of spontaneous otorrhea in children is based on the severe unilateral sensorineural hearing loss and presence of CSF in the middlę ear cavity. It may be successfully treated by means of lateral petrosectomy with obliteration of the vestibule with muscle tissue and tympanic cavity with fat tissue. SN - 1532-818X UR - https://www.unboundmedicine.com/medline/citation/25086707/Lateral_petrosectomy_with_obliteration_cavity_for_spontaneous_cerebrospinal_otorrhea_in_children_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0196-0709(14)00143-4 DB - PRIME DP - Unbound Medicine ER -