Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2019, Vol. 33 ›› Issue (2): 130-135.doi: 10.6040/j.issn.1673-3770.0.2018.431

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Prospect and progress of spontaneous cerebrospinal fluid otorrhea

WANG Yue, LIU Qian, WANG Haibo   

  1. Department of Otorhinolaryngology Head and Neck Surgery, Provincial Hospital Affiliated to Shandong University, Jinan 250000, Shandong, China
  • Published:2019-03-28

Abstract: Spontaneous cerebrospinal fluid otorrhea(SCSFO)is a type of cerebrospinal fluid otorrhea that occurs without any of the obvious causes such as a history of temporal bone trauma or fracture, infection, or neoplasm. Two recognized but unverified theories have been proposed to explain its pathophysiology: congenital defect and arachnoid granulation. The leakage sites of SCSFO differ between young children and adults, and the common sites are the tegmen mastoid, tegmen tympani, and oval window. Though SCSFO is rare, it is an important cause of meningitis. For accurate diagnosis, we propose high-resolution computed tomography(HRCT)followed by a beta-2 transferrin and radionucleotide cisternogram. Surgical intervention is recommended.

Key words: Cerebrospinal and fluid otorrhea, spontaneous, Etiology, Diagnosis, Surgical procedures, operative

CLC Number: 

  • R764.9
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