CASE REPORT Massive Posttraumatic Otorrhoea

Materials & Methods; The patient had experienced a head injury 26 years previously which resulted in recurrent episodes of meningitis. Previous surgeries, one neurosurgical operation and three middle ear operations were ineffective. The patient constantly complained about headaches, dizziness, balance disorder, hypoacusis in the right ear and visual dysfunction. During the middle ear surgery, it was revealed that there was a large bone loss in the middle and posterior cranial fossae, filled by meningoencephalocele and a discharge of the cerebrospinal fluid around the meningoencephalocele. Despite reconstructing skull bones, small discharge of the cerebrospinal fluid was still observed postoperatively. Then, a decision was made to close the defect by the way of neurosurgical approach. Craniotomy was performed, and the defect was closed from the side of the cranial cavity.