Dural herniations, encephaloceles: an index of neglected chronic otitis media and further complications.
Dural herniations, encephaloceles: an index of neglected chronic otitis media and further complications.
复制标题
硬脑膜疝出、脑膨出：被忽视的慢性中耳炎和进一步并发症的指标。
DOI：
10.1053/ajot.2002.123456
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发表时间：
2002
影响因子：
2.5
通讯作者：
S. Manolidis
中科院分区：
文献类型：
--
作者：
S. Manolidis
回顾性分析了110例连续的慢性中耳炎手术病例，这些病例是在美国一家大城市的公立教学医院进行的，该医院服务于市中心的人口。目的是确定硬脑膜突出和脑膨出（DHE）以及与这些实体相关的并发症。共发现29例（26.4%），其中7例（6.4%）为脑膨出。DHE患者中，发现胆脂瘤的占83%，迷路瘘的占48%，术前面瘫的占14%（4例），胆脂瘤累及面神经的占24%，颅内化脓性并发症的占21%。通过乳突骨、小开颅术或正式的中颅窝入路修复内陷。在这个患者群体中，hes的发病率非常高，这反映了被忽视的慢性耳部疾病。相关的并发症需要广泛的手术才能根除，发病率和死亡率的可能性很大。
A retrospective review of 110 consecutive cases of chronic otitis media surgery was carried out in a large metropolitan public teaching hospital in the United States that serves the inner-city population. The purpose was to identify dural herniations and encephaloceles (DHE) as well as complications associated with these entities. Twenty-nine such patients (26.4%) were identified, 7 of which (6.4%) were encephaloceles. In patients with DHE, cholesteatoma was found in 83%, a labyrinthine fistula in 48%, preoperative facial paralysis in 14% (4 patients), facial nerve involvement by cholesteatoma in 24%, and suppurative intracranial complications in 21%. DHEs were repaired through the mastoid, via a mini-craniotomy or a formal middle cranial fossa approach. The incidence of DHEs in this patient population is very high, which reflects neglected chronic ear disease. The associated complications require extensive surgery for eradication, and the potential for morbidity and mortality is significant.