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[Otogenic relapsing meningitis with 5 case reports]
Abstract:
Otogenic relapsing meningitis are rarely seen clinically, most of them are caused by congenital anatomical deformity of internal ear. 5 cases are reported in this thesis. The etiology, diagnosis and therapy of the disease are explained in our study. The operating method is introduced that the temporal fascia and incus are impacted into the vestibular window and the fistula is blocked after the pressure of cerebrospinal fluid is lowered. All 5 cases are primarily successful.
Insights
Recurrent otogenic meningitis, often linked to inner ear deformities, can be successfully treated. A novel surgical technique involving temporal fascia and incus impacted into the vestibular window effectively blocked fistulas in 5 cases.
Area of Science:
- Otolaryngology
- Neurosurgery
- Infectious Diseases
Context:
- Otogenic meningitis, a rare complication of middle ear infections, is frequently associated with congenital inner ear anomalies.
- Recurrent meningitis poses significant clinical challenges due to potential neurological sequelae.
Purpose:
- To describe the etiology, diagnosis, and therapeutic approach for otogenic relapsing meningitis.
- To introduce a specific surgical technique for managing cerebrospinal fluid (CSF) fistulas in these cases.
Summary:
- This study reports on 5 cases of otogenic relapsing meningitis, predominantly caused by congenital inner ear deformities.
- A surgical method is detailed, involving the use of temporal fascia and incus to occlude the vestibular window after reducing CSF pressure.
- All 5 patients achieved primary surgical success.
Impact:
- The findings highlight a potentially effective surgical intervention for a rare but serious condition.
- This approach may improve outcomes for patients experiencing recurrent meningitis originating from the ear.
- The study contributes to the understanding and management of complex otogenic infections.