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目的 :探讨Mondini畸形伴脑脊液耳鼻漏的临床表现及外科手术方法。方法 :对 3例Mondini型内耳畸形伴自发性脑脊液耳鼻漏患儿 ,均采用经卵圆窗内耳填塞方法修补。结果 :3例皆一次手术修补成功 ,随访半年以上无脑脊液漏或脑膜炎复发。结论 :幼儿自发性脑脊液耳鼻漏应警惕Mondini型内耳畸形 ,颞骨薄层CT扫描可明确诊断 ,经鼓室进路手术修补为有效方法。
Objective: To investigate the clinical manifestations and surgical methods of Mondini malformation associated with cerebrospinal fluid rhinorrhea. Methods: Three cases of Mondini-type inner ear deformity with spontaneous cerebrospinal fluid rhinorrhea patients were repaired by tamponade of the internal ear. Results: All the three cases were successfully surgically repaired. No leakage of cerebrospinal fluid or recurrent meningitis occurred after more than six months follow-up. CONCLUSIONS: Mondini-type inner ear deformity should be wary of spontaneous cerebrospinal fluid otorhinolaryngology in children. Thin-layer CT scan of the temporal bone can be diagnosed clearly, and repair by tympanic approach is an effective method.