American journal of otolaryngology · 2026
Diagnosis and management of spontaneous CSF otorrhea associated with skull base defects.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Wu Shaohua, Xu Lang, Liu Shuo, Dai Pu, Su Yu
Аннотация
OBJECTIVE: This study aimed to characterize spontaneous CSF otorrhea or otorhinorrhea from skull base defects, including its clinical presentation, management outcomes, and causes of recurrence.
METHODS: A retrospective cohort study was performed on 20 patients who underwent surgical repair at Chinese PLA General Hospital between 2009 and 2024.
RESULTS: The cohort was predominantly adult (75%), male, and right-sided. Key presentations were conductive hearing loss (85%), otorrhea (50%), and meningitis (35%). Most defects (85%) involved the middle cranial fossa floor. Initial surgical success was 75%, with recurrence (mean 3.78 months) attributed to inadequate obliteration, recanalization, or missed defects. Notable complications included intracranial hypertension and facial paralysis.
CONCLUSION: Spontaneous CSF otorrhea or otorhinorrhea typically originates from the middle cranial fossa floor in adults. While multi-layered surgical repair is effective, its success can be compromised by technical factors, underscoring the necessity of meticulous preoperative assessment to reduce recurrence.
METHODS: A retrospective cohort study was performed on 20 patients who underwent surgical repair at Chinese PLA General Hospital between 2009 and 2024.
RESULTS: The cohort was predominantly adult (75%), male, and right-sided. Key presentations were conductive hearing loss (85%), otorrhea (50%), and meningitis (35%). Most defects (85%) involved the middle cranial fossa floor. Initial surgical success was 75%, with recurrence (mean 3.78 months) attributed to inadequate obliteration, recanalization, or missed defects. Notable complications included intracranial hypertension and facial paralysis.
CONCLUSION: Spontaneous CSF otorrhea or otorhinorrhea typically originates from the middle cranial fossa floor in adults. While multi-layered surgical repair is effective, its success can be compromised by technical factors, underscoring the necessity of meticulous preoperative assessment to reduce recurrence.