Clin Exp Otorhinolaryngol.  2009 Jun;2(2):97-99. 10.3342/ceo.2009.2.2.97.

CSF Otorrhea Resulting from Osteoradionecrosis of the Temporal Bone in a Patient with Recurrent Meningioma

• Park CW
• Jin BJ
• Jeong SW
• Min HJ
• Shin JH
• Lee SH

• KMID: 2007192
• DOI: http://doi.org/10.3342/ceo.2009.2.2.97

Abstract

Osteoradionecrosis of the temporal bone is a very rare but potentially lethal complication of radiotherapy for head and neck or skull base tumors. Only two cases of osteoradionecrosis of the temporal bone complicating cerebrospinal fluid (CSF) otorrhea have been reported in the literature. This report describes a case of CSF otorrhea and osteoradionecrosis of the temporal bone in a patient with meningioma who was treated with tympanomastoid surgery and autologous fat obliteration in the mastoid.

Keyword

Cerebrospinal fluid leak; Osteoradionecrosis; Temporal bone

MeSH Terms

Cerebrospinal Fluid Rhinorrhea
Head
Humans
Mastoid
Meningioma
Neck
Osteoradionecrosis
Skull Base
Temporal Bone
Cerebrospinal Fluid Rhinorrhea

Figure

• 

  Fig. 1 The axial (A) & coronal (B) temporal bone CT shows hyperostosis with sclerotic and lytic areas, and a moth-eaten appearance of the petrous portion of the right temporal bone, which was neighboring with the recurrent meningoma site (black and white arrow). The asterisk mark represents a defect from the previous operation.

• 

  Fig. 2 The T2 weighted MR image shows high signal intensity (A), whereas the T1 weighted MR image shows low signal intensity (arrowhead) (B).

Reference

1. Ramsden RT, Bulman CH, Lorigan BP. Osteoradionecrosis of the temporal bone. J Laryngol Otol. 1975; 9. 89(9):941–955. PMID: 809521.

2. Lim BY, Pang KP, Low WK, Tan HM. CSF otorrhea complicating temporal bone osteoradionecrosis in a patient with nasopharyngeal carcinoma. Ear Nose Throat J. 2005; 1. 84(1):39–40. PMID: 15742772.

3. Sikand A, Longridge N. CSF otorrhea complicating osteoradionecrosis of the temporal bone. J Otolaryngol. 1991; 6. 20(3):209–211. PMID: 1870170.

4. Eiving J. Radiation osteitis. Acta Radiologica. 1926; 6:399–412.

5. Block E. Rontgenschadigung des Schkafenbeines. Z Hals Nas Ohrenheilkd. 1952; 3:45–46.

6. Kveton JF. Surgical management of osteoradionecrosis of the temporal bone. Otolaryngol Head Neck Surg. 1988; 3. 98(3):231–234. PMID: 3127788.

7. Tsang WS, Ku PK, Andrew van Hasselt C. Osteoradionecrosis of the temporal bone in nasopharyngeal carcinoma after radiotherapy: a case report. Ear Nose Throat J. 2000; 2. 79(2):94–95. PMID: 10697932.

8. Ma KH, Fagan PA. Osteoradionecrosis of the temporal bone: a surgical technique of treatment. Laryngoscope. 1988; 5. 98(5):554–556. PMID: 3362019.