自发性CSF泄漏修复后的中耳分泌物可能代表出血而不是CSF泄漏
Omer J Ungar1,2, Hen Chaushu3,4, Yahav Oron3,4
1Departments of Otolaryngology-Head and Neck Surgery and Maxillofacial Surgery, School of Medicine, Tel Aviv Sourasky Medical Center, Tel-Aviv University, Tel Aviv, 6423907, Israel. ungaromer@gmail.com.
概括
脑脊液泄漏修复后持续的中耳泄漏往往表明有血清性中耳炎,而不是反复的泄漏. 治疗涉及通风管用于输出管理和改善听力结果.
科学领域:
- 神经外科 神经外科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 听力学 听力学是指听力学.
背景情况:
- 自发性脑脊液 (CSF) 通过骨 (TB) 泄漏需要手术修复.
- 手术后持续的中耳 (ME) 溢出会使康复和诊断复杂化.
研究的目的:
- 描述中耳溢出,在手术修复自发骨CSF泄漏后2个月出现.
- 在术后期区分输出和复发性CSF泄漏.
主要方法:
- 对接受结核病中枢神经液泄漏修复的患者 (2011-2022) 的回顾性图表审查.
- 持续性ME输出的分析,包括β2转林采样.
- tympanostomy管放置用于输出管理和听力测量评估.
主要成果:
- 53个修复的耳朵中有14个 (26%) 在手术后2个月内有持续的ME输液.
- 七个排泄物对β2转移蛋白呈阴性,用 tympanostomy 管进行处理.
- 七次流血需要修复手术;这些手术的性质没有具体说明.
结论:
- 结核病中枢液泄漏修复后的手术后的ME输液经常是中耳炎 (SOM),而不是反复的中枢液泄漏.
- SOM可能是粘膜刺激或尤斯塔希管功能障碍的结果.
- 包括β2转林测试在内的诊断评估有助于管理决策.
相关概念视频
Pleural Effusion I: Introduction
270
Pleural effusion is an abnormal fluid accumulation in the pleural cavity, a narrow space between the lungs and the chest wall. It is not a disease per se but rather a symptom or indication of an underlying disease. In normal circumstances, this space contains a small amount of fluid (5 to 15 mL), a lubricant facilitating the non-frictional movement of the pleural surfaces.
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's...
There are two main types of pleural effusion: transudative and exudative. They are differentiated using Light's...
270
Pleural Effusion II: Symptoms and Management
133
Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
133
Cerebrospinal Fluid
1.4K
Cerebrospinal fluid (CSF) is a colorless liquid that flows around the brain and the spinal cord, playing a vital role in the protection, support, and overall function of the central nervous system (CNS). CSF production, circulation, and absorption are tightly regulated processes essential for the brain and spinal cord to function properly.
CSF Production
CSF is produced mainly in the choroid plexus, a network of capillaries and ependymal cells located within the ventricular system of the brain....
CSF Production
CSF is produced mainly in the choroid plexus, a network of capillaries and ependymal cells located within the ventricular system of the brain....
1.4K
Inflammatory Response II: Inflammatory Exudate and Tissue Repair
4.3K
The immune system's inflammatory response destroys the invading pathogen, permitting the tissue to heal. The changes during the cellular and vascular stages allow exudate formation at the site of inflammation. The inflammatory exudate released from the wound has high protein content and a specific gravity above 1.020.
The typical wound exudate is odorless, transparent, straw-colored, thin, and watery. Exudate, however, can differ depending on the state of wound healing. Likewise, the...
The typical wound exudate is odorless, transparent, straw-colored, thin, and watery. Exudate, however, can differ depending on the state of wound healing. Likewise, the...
4.3K
Endoscopic Studies II: Thoracocentesis
172
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
172
Suctioning the Nasopharyngeal Airway
190
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
190


