Fistula of the middle ear: a case report

Authors

  • Jorge Santana Álvarez Hospital Militar "Octavio de la Concepción y de la Pedraja" Camagüey
  • Gaspar Quesada Rodríguez
  • Manuel León Molina
  • María de los Ángeles Miranda Ramos
  • José Montejo Montejo
  • Isabel del Barrio Taupier

Abstract

Background: fistulas of cephalospinal liquid in the ear have many causes. Translabyrinthine fistulae are associated with congenital causes in the 95 % of the patients. Spontaneous otorrhea fistulae are consequence of a dural defect that causes an abnormal communication between the subarachnoid space and pneumatized cavities of the temporal bone. This abnormal communication is the access of pathogenic germs and can cause an infection in the central nervous system. This serious complication can compromise the life of the patient. The risk of meningitis in patients with fistulae of the cephalospinal liquid is about a 50 %.
Objective: to describe the case of a female patient with a congenital fistula and repeated manifestations of meningoencephalitis.
Clinical case: a nine-year-old female patient with a congenital fistula who had presented manifestations of meningoencephalitis 25 times. The surgery was conducted using autologous tissue placed in multiple layers linked with Tisuacryl®. A vestibular closure of the fistula was performed preventing the recurrence of meningoencephalitis. The patient had a favorable progress after the operation.
Conclusion: the early diagnosis through a correct physical examination, the confirmation of the nature of the liquid by the laboratory, the imaging test that confirmed the clinical suspicion, and the combined closure of the fistula with autologous tissue constituted the right diagnostic-therapeutic sequence that guaranteed the success in this patient.

DeCS: FISTULA; MENINGOENCEPHALITIS; EAR, MIDDLE; TRANSPLANTATION, AUTOLOGOUS; CHILD.

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Author Biography

Jorge Santana Álvarez, Hospital Militar "Octavio de la Concepción y de la Pedraja" Camagüey

Director de la revista Archivo Médico de Camagüey

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Published

2015-12-10

How to Cite

1.
Santana Álvarez J, Quesada Rodríguez G, León Molina M, Miranda Ramos M de los Ángeles, Montejo Montejo J, del Barrio Taupier I. Fistula of the middle ear: a case report. Arch méd Camagüey [Internet]. 2015 Dec. 10 [cited 2025 Aug. 17];20(1):69-76. Available from: https://revistaamc.sld.cu/index.php/amc/article/view/4168

Issue

Vol. 20 No. 1 (2016)

Section

Case Reports

License

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