Objective To report clinical features and treatment of adult spontaneous cerebrospinal fluid otorrhea.Methods Clinical data of 4 patients suffering from spontaneous cerebrospinal fluid otorrhea surgically treated in our de-partment between June 2015 and June 2022 were retrospectively analyzed.All 4 cases were misdiagnosed as secretory otitis media.Defects were located to the tegmen mastoideum in cases 1 and 3,and to the tegmen tympani in cases 4,all surgically repaired through the transmastoid approach.Defect was located in the tegmen tympani in case 2 with brain tis-sue prolapsed to the tympanum,partly wrapping the ossicles and repaired by mastoidectomy plus adipose tissue pack-ing.Results Satisfactory results were achieved after primary repair in cases 1 and 3.Otorrhea initially persisted after pri-mary repair in case 4 but resolved with conservative treatments.No recurrence occurred during followed ups(6 months to 7 years and 6 months,average=4 years and 3 months).Conclusion Pre-operative temporal bone HRCT and MRI scans for diagnosis are important to ensure accurate location of leakage site and appropriate surgical planning.
cerebral spinal fluid otorrheaspontaneousdefect of the skull basetherapy
国家科技期刊平台
NSTL
万方数据
