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After a fracture in the petrous bone responsible for CSF otorrhea, the discharge continues no more than a few days and ceases spontaneously, but if prolonged, meningitis becomes a considerable risk. During the past five years, we operated on 50 cases of cerebral spinal fluid otorrheas after head injury. The surgical procedures were settled after an agreement between neurosurgeons, oto-rhino-laryngologists and neuroradiologists. 6 patients had a neurosurgical approach because of an associated brain lesion, 32 patients were operated only by otologists, 12 patients had presented an early or late meningitis. In most cases (41/50) a microsurgical exploration of the middle ear was performed: CSF was seen to be coming through the internal meatus acusticus into the middle ear, on account of a fracture, a luxation or a disinsertion of the annular ligament of the stirrup bone. The closing of the gap with muscle tissue, from the temporalis, gave good results, without recurrence of otorrhea or meningitis. This procedure may be performed easily and rapidly as soon as the CSF discharge does not cease after few days. This attitude, even if considered as preventive, is safer for the patient.
C Bousquet, and
F M Vaneecloo, and
J P Julliot, and
J J Piquet, and
J L Christiaens, and
E Lainé
March 1979,
Neurochirurgia,
C Bousquet, and
F M Vaneecloo, and
J P Julliot, and
J J Piquet, and
J L Christiaens, and
E Lainé
February 1978,
No to shinkei = Brain and nerve,
C Bousquet, and
F M Vaneecloo, and
J P Julliot, and
J J Piquet, and
J L Christiaens, and
E Lainé
March 1980,
Annales de chirurgie,
C Bousquet, and
F M Vaneecloo, and
J P Julliot, and
J J Piquet, and
J L Christiaens, and
E Lainé
June 1979,
Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca,
C Bousquet, and
F M Vaneecloo, and
J P Julliot, and
J J Piquet, and
J L Christiaens, and
E Lainé
February 1978,
Nippon Ganka Gakkai zasshi,
C Bousquet, and
F M Vaneecloo, and
J P Julliot, and
J J Piquet, and
J L Christiaens, and
E Lainé
February 1975,
Zeitschrift fur Erkrankungen der Atmungsorgane,
C Bousquet, and
F M Vaneecloo, and
J P Julliot, and
J J Piquet, and
J L Christiaens, and
E Lainé
January 1979,
Giornale italiano di cardiologia,
C Bousquet, and
F M Vaneecloo, and
J P Julliot, and
J J Piquet, and
J L Christiaens, and
E Lainé
September 1979,
La Nouvelle presse medicale,
C Bousquet, and
F M Vaneecloo, and
J P Julliot, and
J J Piquet, and
J L Christiaens, and
E Lainé
January 1972,
Acta neurochirurgica,
C Bousquet, and
F M Vaneecloo, and
J P Julliot, and
J J Piquet, and
J L Christiaens, and
E Lainé
January 1975,
Giornale italiano di cardiologia,
