XXXIV. Operative Procedure for Brain Abscess of Otitic Origin

Dean, L. W.

doi:10.1177/000348941001900302

Cited by 3 publications

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“…Frequency and mortality rates decreased significantly following the admonition by Dean," in 1910, to drain such abscesses through a tiny opening only and to avoid probing them with a finger. It has been shown since then that endaural encephalocele, as a complication of brain abscess, can be prevented entirely if drainage is achieved through transtemporal bur holes or a craniotomy rather than through the mastoid."…”

mentioning

confidence: 99%

XVI Endaural Encephalocele and Cerebrospinal Fluid Otorrhea

Gg¹,

Fa²

1970

Ann Otol Rhinol Laryngol

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mentioning

confidence: 99%

XVI Endaural Encephalocele and Cerebrospinal Fluid Otorrhea

Gg¹,

Fa²

1970

Ann Otol Rhinol Laryngol

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“…However, the incidence of this condition dropped significantly due to the introduction of exploratory trephination through a clean field, advocated by Dean and Rand. 3 Although the incidence of brain herniation has decreased dramatically over the years, cases have been reported throughout the twentieth century. Table I lists cases reported in the literature, along with their predisposing factors.…”

Section: Introductionmentioning

confidence: 99%

“…This resulted in delayed brain herniation. However, the incidence of this condition dropped significantly due to the introduction of exploratory trephination through a clean field, advocated by Dean and Rand 3 …”

Section: Introductionmentioning

confidence: 99%

Management of temporal bone meningo-encephalocoele

Ramalingam

SreenivasaMurthy

et al. 2008

J. Laryngol. Otol.

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Meningo-encephalocoele of the temporal bone, also known as fungus cerebri, is a rare occurrence in clinical practice. We present a series of 13 patients with chronic otitis media who suffered brain herniation into the mastoid cavity. We also discuss the presentation and management of brain herniation with or without cerebrospinal fluid leak.Study design: Retrospective. Methods: Among 963 cases undergoing revision mastoid surgery, 13 patients suffered brain herniation. These cases were identified and analysed.Results: All 13 patients' initial diagnosis was chronic suppurative otitis media with cholesteatoma, and all had undergone previous mastoid surgery resulting in a defect in the tegmen and weakening of the dura mater. The revision procedures performed included 10 (76.9 per cent) modified radical mastoidectomies without ossicular chain reconstruction and one (7.6 per cent) modified radical mastoidectomy with ossicular chain reconstruction; two (15.3 per cent) patients required a blind sac closure. Brain herniation and/or cerebrospinal fluid leak were repaired by a transmastoid + minicraniotomy procedure.Conclusions: Injury to the tegmen and dura should be avoided during surgery for chronic middle-ear disease. Cerebrospinal fluid leaks, if encountered, should be managed in the same surgical session. The transmastoid approach is helpful in repairing defects smaller than 1 cm in diameter, whereas the combined transmastoid-minicraniotomy approach provides good access when closing defects larger than 1 cm in diameter and also enables auto-calvarial grafting.

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XXVI Brain Hernia: A Postoperative Complication in Otology

Hall

1939

Ann Otol Rhinol Laryngol

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XXXIV. Operative Procedure for Brain Abscess of Otitic Origin

Cited by 3 publications

References 0 publications

XVI Endaural Encephalocele and Cerebrospinal Fluid Otorrhea

XVI Endaural Encephalocele and Cerebrospinal Fluid Otorrhea

Management of temporal bone meningo-encephalocoele

XXVI Brain Hernia: A Postoperative Complication in Otology

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