종설

유양동 수술 후 발생한 기뇌증

임현호1, 김용환1, 서한규1, 황순재1
Hyun-Ho Lim1, Yong-Howan Kim1, Han-Kyu Suh1, Soon-Jae Hwang1
Author Information & Copyright
1고려대학교 의과대학 이비 인후-두경부외과학교실
1Department of Otolaryngology-Head and Neck Surgery, College of Medicine, Korea University, Seoul, Korea

© Copyright 1997 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.

Published Online: May 31, 2020

ABSTRACT

Pneumocephalus is air stasis in the intracranial cavity caused by breakdown of anatomical barrier resisting in communication between intracranial cavity and the atmosphere. Iatrogenic pneumocephalus secondary to mastoidectomy is about 6.5 % of the total cases of the pneumocephalus resulting from dural damage of tegmen mastoideum.

To prevent this tragic clinical result of mastoidectomy, it is emphasized to have a habit of carefully checking the anatomical defect preoperatively as well as during the operation. When the defect is found it is important to repair the dural defect immediately and during the postoperative state, even a mild symptom of a patient postoperatively should not be ignored.

Authors recently have experienced 2 cases of pneumochphalus with an unidentified intraoperative dural damage after mastoidectomy on 1 case of chronic otitis media and 1 case of chronic otitis media with cholesteatoma. We report clinical course and treatment result with some review of literatures for the guide in the diagnosis and treatment modalities.

Keywords: Pneumocephalus; Iatrogenic; Mastoid Surgery