-transparent.png){kind=logo}
A series of thirty-five patients operated on for brain herniation into the middle ear and mastoid is presented. The etiologic factor was felt to be previous surgery in twenty-six cases, head trauma in four cases, chronic otomastoiditis in four cases, congenital dehiscence of the tegmen in one case, and subdural empyema in one case. Diagnosis and treatment of brain herniation are discussed. The mastoid approach for repair of tegmen defects from below with the use of homologous cartilage or autologous cortical bone is advocated. A combined procedure using the transmastoid approach plus a mini-craniotomy of the temporalis squama is suggested as an alternative treatment to middle cranial fossa repair for larger cerebral hernias.
L Feenstra, and
M Sanna, and
C Zini, and
R Gamoletti, and
P Delogu
November 1979,
The Laryngoscope,
L Feenstra, and
M Sanna, and
C Zini, and
R Gamoletti, and
P Delogu
June 1983,
Clinical otolaryngology and allied sciences,
L Feenstra, and
M Sanna, and
C Zini, and
R Gamoletti, and
P Delogu
March 1997,
The American journal of otology,
L Feenstra, and
M Sanna, and
C Zini, and
R Gamoletti, and
P Delogu
October 1999,
Acta otorrinolaringologica espanola,
L Feenstra, and
M Sanna, and
C Zini, and
R Gamoletti, and
P Delogu
January 1993,
ORL; journal for oto-rhino-laryngology and its related specialties,
L Feenstra, and
M Sanna, and
C Zini, and
R Gamoletti, and
P Delogu
September 1989,
The Laryngoscope,
L Feenstra, and
M Sanna, and
C Zini, and
R Gamoletti, and
P Delogu
January 1989,
Neuroradiology,
L Feenstra, and
M Sanna, and
C Zini, and
R Gamoletti, and
P Delogu
June 1970,
The Journal of laryngology and otology,
L Feenstra, and
M Sanna, and
C Zini, and
R Gamoletti, and
P Delogu
June 1991,
The Journal of laryngology and otology,
L Feenstra, and
M Sanna, and
C Zini, and
R Gamoletti, and
P Delogu
January 1992,
The American journal of otology,
