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目的:探讨Mondini畸形伴脑脊液耳漏患者的外科治疗方法及预防措施。方法:对我院确诊为Mondini畸形伴脑脊液耳漏的15例患者采用鼓室探查并经卵圆窗、圆窗及其他漏孔进行填塞修补。结果:手术探查发现卵圆窗处有脑脊液漏出,圆窗及附近其他部位也有漏孔发生。15例患者中,10例经漏孔填塞修补1次治愈;5例经2次或3次填塞术后治愈。术后随访10个月~7年无脑脊液漏或脑膜炎复发。结论:经鼓室进路手术修补为该病的有效治疗方法,避免致畸因素的影响是预防本病发生的重要措施,佩带助听器是治疗手段之一,部分患者可考虑电子耳蜗植入。
Objective: To investigate the surgical treatment of Mondini malformation associated with cerebrospinal fluid otorrhea and its preventive measures. METHODS: Fifteen patients diagnosed with Mondini malformation with cerebrospinal fluid otorrhea in our hospital were examined by tympanometry and padded with oval window, round window and other leaky holes. Results: Surgical exploration revealed leakage of cerebrospinal fluid at the oval window. There were also leaky holes in the round window and other nearby sites. Of the 15 patients, 10 were cured by leaky filling and one was cured; 5 patients were cured by 2 or 3 patients. Postoperative follow-up of 10 months to 7 years without cerebrospinal fluid leakage or meningitis recurrence. Conclusion: The operation of tympanoskeleton repair for the effective treatment of the disease to avoid the influence of teratogenic factors is an important measure to prevent the occurrence of this disease, wear hearing aids is one of the means of treatment, some patients may consider the cochlear implant.