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Meningoencephalocele of the middle ear cleft

Three tier management

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Meningoencephalic herniation into the middle ear is a rare condition that can be life threatening for the patient due to eventual infective intracrunial complications. It is characterized by a bony and dural defect localized in the tegmen through which meninges and encephalic tissue can herniate. Meningoencephalic hernia of the middle ear can appear as an insidious complication of Chronic mastoiditis (infective) and its surgery, trauma or spontaneous. High resolution computed tomography (CT scan) and Magnetic resonance imaging (MRI) must be done to evaluate the extent and the contents of the disease. Early and effective surgical repair, the only appropriate treatment, is necessary to avoid complication and recurrence. Middle cranial fossa, mastoid, combined approaches and obliteration of mastoid; external auditory canal and middle ear are the surgical procedures for the repair of hernias. Various materials viz. fascia/ muscle/fat / cartilage/ bones/ synthetic materials are used. Recurrence of the repaired herniation has been reported. To overcome the problem of recurrence and have a foolproof method, a three tier management is described and suggested.

Abstract

Meningoencephalocele, brain hemiation

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References

  1. Jackson CG, Pappas DG Jr, Manolidis S, Glasscock ME 3 rd,Von Doersten PG,Hampf CR,Williams JB,Storper IS.Brain herniation into the middle ear and mastoid:concepts in diagnosis and surgical management.Am J Otol. 1997 Mar;18(2):198–205;discussion 205– 6.

    PubMed  CAS  Google Scholar 

  2. Glasscock ME 3 rd,Dickins JR,Jackson CG,Weit RJ,Feenstra L.Surgical management of Brain tissue herniation into the middle ear and mastoid.Laryngoscope.1979 Nov. 89 (11)1743–54.

    Article  PubMed  Google Scholar 

  3. Kizilay A, Aladag I., Cokkeser Y., Ozturan.O;Durai bone defect and encephalocele associated with chronic otitis media or surgery;Kulk Burun Bogaz ihtis Derg.2002;Nov–Dec;9(6);403–9 (Article in Turkish) PubMed-indexed for Medline

    Google Scholar 

  4. Ramanikanth TV., Smith MC., Ramamoorthy R., Ramalingam KK.,Post auricular cerebellar encephalocole secondary to chronic suppurative otitis media and mastoid surgery.J. Laryngol. otol. 1990 Dec,;104 (12):982–5.

    Article  PubMed  CAS  Google Scholar 

  5. Mosnier I., Fikly LE., Shahidi A., Sterker O.,Clin Otolaryngol.2000 Oct.:25(5):385–91.

    Article  PubMed  CAS  Google Scholar 

  6. Feenstra L., Sanna M., Zini c., Gamoleti R, Delogu P. Surgical treatmant of brain herniation into middle ear and mastoid. Am J Otol. 1985 Jul,;(4):311–5.

  7. Golding-Wood DG, Williums HOL, Brookes GB:Tegmental dehiscence and brain herniation into middle ear cleft.J.laryngol.otol. 1991.june 105, p.477–480

    Article  PubMed  CAS  Google Scholar 

  8. Paparella M.M., Meyerhoff, W.L., Oliviera, C.A.(1978)Mastoiditis and brain hernia.Laryngoscope, 88, 1097–1106

    PubMed  CAS  Google Scholar 

  9. Stout J.J;Trowbridge W.V.;Ruggles R.L. (1969)Surgical repair of durai herniation into the mastoid bowel.Archives of otolaryngology.89:850–855

    PubMed  Google Scholar 

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  1. Verma ENT Hospital and Research Centre, Gujral Nagar, 144001, Jalandhar, India

    Ravinder Verma

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  1. Ravinder Verma
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Verma, R. Meningoencephalocele of the middle ear cleft. Indian J Otolaryngol Head Neck Surg 58, 378–380 (2006). https://doi.org/10.1007/BF03049601

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