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Ear Surgery pp 67–75Cite as

Spontaneous Cerebral Spinal Fluid Otorrhea

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Abstract

• Two categories of spontaneous cerebral spinal fluid otorhhea: (1) pediatric: ages 1–5 years, (2) adult: over 50 years of age

• Pediatric preformed pathways are:

– Enlarged fallopian canal

– Patent tympanomeningeal (Hyrtl’s) fissure

– Mondini dysplasia with communication to internal auditory canal

• The adult form is caused by enlarging arachnoid granulations through the middle fossa or posterior fossa surfaces of the temporal bone.

• CT (1-mm cuts) of the temporal bone in both axial and coronal planes is best to demonstrate the bony defect and associated soft tissue mass.

• Surgical repair (middle fossa approach for tegmen defects; mastoidectomy for posterior fossa defects) with soft tissue repair is recommended.

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© 2008 Springer-Verlag Berlin Heidelberg

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(2008). Spontaneous Cerebral Spinal Fluid Otorrhea. In: Ear Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-77412-9_8

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  • DOI: https://doi.org/10.1007/978-3-540-77412-9_8

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-77411-2

  • Online ISBN: 978-3-540-77412-9

  • eBook Packages: MedicineMedicine (R0)

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