髄膜炎を反復した内耳奇形例

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  • A Case of Congenital Inner Ear Malformation with Recurrent Meningitis
  • ズイマクエン オ ハンプク シタ ナイジ キケイレイ

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<p>We repaired a cerebrospinal fluid (CSF) leak in a 27-year-old woman who had undergone primary repair surgery for recurrent meningitis when she was 4 years old. Twenty-three years later, she once again developed meningitis after giving birth to her first child via a vaginal delivery. At presentation in our clinic, her pure tone audiometry showed left ear deafness. A temporal bone computed tomography examination showed an inner ear malformation in her left ear. Because a recurrence of the CSF leakage was suspected, we performed an exploratory tympanotomy on her left ear. We found a partial bony defect of the stapes foot plate, from which a CSF leak had occurred. We removed the stapes and filled the inner ear with small, alternating pieces of temporal muscle and cartilage through the vestibular window. The patient’s postoperative course was uneventful, and there have been no signs of recurrence as of 2 years after the operation.</p>

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