Endaural brain hernia: repair using mastoid cortical bone

We present three cases of endaural brain hernia and a method of repair using sculptured mastoid cortical bone. The literature is reviewed to illustrate etiology, pathology, clinical presentation, and management options of this uncommon clinical entity. We classify the hernias as pedunculated or sess...

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Bibliographic Details
Published inThe American journal of otology (New York, N.Y.) Vol. Suppl; p. 121
Main Authors Bartels, L, Luk, L J, Balis, G, Bald, C
Format Journal Article
LanguageEnglish
Published United States 01.11.1985
Subjects
Adult
Ear Diseases - etiology
Ear Diseases - pathology
Ear Diseases - surgery
Encephalocele - etiology
Encephalocele - pathology
Encephalocele - surgery
Humans
Male
Mastoid - surgery
Mastoid - transplantation
Middle Aged
Postoperative Complications
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Summary:We present three cases of endaural brain hernia and a method of repair using sculptured mastoid cortical bone. The literature is reviewed to illustrate etiology, pathology, clinical presentation, and management options of this uncommon clinical entity. We classify the hernias as pedunculated or sessile, with associated factors such as viability of herniated brain, infection, CSF leak, and neurologic complications. A management scheme is proposed encompassing surgical options now available and their attendant risks and complications.
ISSN:0192-9763