CEREBROSPINAL FLUID OTORRHEA IN PATIENTS WITH INNER EAR MALFORMATIONS

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Issue: 
2
Year: 
2016

Kh. Diab, MD; Professor N. Daikhes, MD; D. Kondratchikov; P. Umarov, Candidate of Medical Sciences; O. Pashchinina, Candidate of Medical Sciences; K. Yusifov, Candidate of Medical Sciences Otorhinolaryngology Research and Clinical Center, Federal Biomedical Agency of Russia, Moscow

A surgical algorithm was created to eliminate liquorrhea developing at cochlear implantation in patients with inner ear abnormalities. Intraoperative liquorrhea successfully eliminated in all cases occurred during 12 surgical interventions while dissecting the membrane of the fenestra cochleae or applying cochleostoma. Otoliquorrhea may be always completely removed at cochlear implantation via the classical approach irrespective of how the spiral canal is opened (through cochleostoma or the membrane of the fenestra cochleae). Intraoperative liquorrhea does not affect the results of auditory-verbal rehabilitation in patients with congenital inner ear abnormality.
Keywords: 
сerebrospinal fluid otorrhea
malformations of the inner ear
cochlear implantation

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References: 
  1. Rajati M., Ghassemi M., Alipour 1. M. et al. Differentiation between CSF Otorrhea and Rhinorrhea in an Obscure Case of Recurrent Meningitis // Iran J. Otorhinolaryngol. – 2014; 26 (75): 119–23.
  2. Işeri M., Uçar S., Derin S. et al. Cerebrospinal fluid otorrhea and recurrent bacterial meningitis in a pediatric case with Mondini dysplasia // Kulak Burun Bogaz Ihtis. Derg. – 2013; 23 (1): 57–9.
  3. Sanna M., Falcioni M., Rohit. Cerebro-spinal fluid leak after acoustic neuroma surgery // Otol. Neurotol. – 2003; 24 (3): 524
  4. Becker S., Jackler R., Pitts L. Cerebrospinal fluid leak after acoustic neuroma surgery: a comparison of the translabyrinthine, middle fossa, and retrosigmoid approaches // Otol. Neurotol. – 2003; 24 (1): 107–12.
  5. Alvi A., Bereliani A. 45. th. Trauma to the temporal bone: diagnosis and management of complications // J. Craniomaxillofac. Trauma. – 1996; 2 (3): 36–48.
  6. Sakai M., Ishida K., Naito A. et al. A case of CSF gusher in Mondini deformity of the inner ear // Adv. Otorhinolaryngol. – 2000; 57: 180–2.
  7. Petrus L., Lo W. Spontaneous CSF otorrhea caused by abnormal development of the facial nerve canal // Am. J. Neuroradiol. – 1999; 20 (2): 275–7.
  8. Foyt D., Brackmann D. Cerebrospinal fluid otorrhea through a congenitally patent fallopian canal // Arch. Otolaryngol. Head Neck Surg. – 2000; 126 (4): 540–2.Rich P., Graham J., Phelps P. Hyrtl's fissure // Otol. Neurotol. – 2002; 23 (4): 9. 476–82
  9. Jégoux F., Malard O., Gayet-Delacroix M. et al. Hyrtl's fissure: a case of spontaneous cerebrospinal fluid otorrhea // Am. J. Neuroradiol. – 2005; 26 (4): 963–6.
  10. Stone J., Castillo M., Neelon B. et al. Evaluation of CSF leaks: high resolution CT compared with contrast-enhanced CT and radionuclide cisternography // Am. J. Neuroradiol. – 1999; 20 (4): 706–12.
  11. Kim S., Park C., Park K. Cerebrospinal fluid rhinorrhea caused by a congenital defect of stapes mimicking otorrhea: radionuclide cisternographic findings // Clin. Nucl. Med. – 2000; 25 (8): 634–5.
  12. Mehdi E., Alkan A., Yetis H. et al. CSF otorhinorrhea in a child with inner ear dysplasia: diagnosis with T2-weighted and intrathecal contrast-enhanced MR cisternography // Jpn. J. Radiol. – 2014; 32 (7): 437–40.
  13. Escorihuela Garcia V., Llópez Carratalá I., Fernández Julián E. et al. Management of cerebrospinal fluid otorrhea // J. Acta Otorrinolaringol. Esp. – 2013; 64 (3): 191–6.
  14. Ahn J., Lim H., Lee K. Hearing improvement after cochlear implantation in common cavity malformed cochleae: long-term follow-up results // Acta Otolaryngol. – 2011; 131 (9): 908–13.
  15. Diab H.M., Il'in S.N., Lilenko A.S. Optimizatsija vybora hirurgiche skoj taktiki provedenija kohlearnoj implantatsii u patsientov s anomalijami razvitija vnutrennego uha po dannym KT visochnyh kostej i MRT vnutrennego uha // Ros. otorinolaringol. – 2012; 2: 93–100.