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부비동 내시경수술 후 발생한 기뇌증과 심각한 뇌수막염 치험 1예

이호민1, 이상민1, 이정민1, 이태훈1,*
Ho Min Lee1, Sang Min Lee1, Jung Min Lee1, Tae-Hoon Lee1,*
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1울산대학교 의과대학 울산대학교병원 이비인후과학교실
1Department of Otolaryngology-Head and Neck Surgery, Ulsan University College of Medicine, Ulsan University Hospital, Ulsan, Korea
*교신저자: 이태훈, 682-714 울산광역시 동구 전하동 290-3 울산대학교 의과대학 울산대학교병원 이비인후과학교실 전화: (052) 250-7180·전송:(052) 234-7182 E-mail:thlee@uuh.ulsan.kr

© Copyright 2011 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Aug 29, 2011; Revised: Sep 08, 2011; Accepted: Oct 11, 2011

Published Online: May 31, 2020

ABSTRACT

Pneumocephalus represents rare complications in endoscopic sinus surgery. Pneumocephalus following nasal and sinus surgery occurs because of iatrogenic damage to the skull base. Patients with posttraumatic cerebrospinal fluid leakage lasting more than 7 days have at least 8- to 10-fold increase in risk of meningitis. Although treatment regimens for Streptococcus pneumoniae meningitis have improved, the mortality rate remains as high as 25% with neurological sequelae in up to half of survivors. We report a 35-year-old man with pneumocephalus and meningitis as complications of endoscopic sinus surgery. We initially treated the patient by administration of antibiotics and lumbar drain. After controlling inflammation, endoscopic repair of cerebrospinal fluidrhinorrhea with osteomucoperiosteal free flap obtained from the middle turbinate under general anesthesia was done. The patient was followed up without any complication. (J Clinical Otolaryngol 2011;22:243-246)

Keywords: 기뇌증; 뇌수막염; 뇌척수액 유출; 부비동내시경 수술
Keywords: Pneumocephalus; Meningitis; Cerebrospinal fluid rhinorrhea; Endoscopic surgery