{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T06:36:53Z","timestamp":1789799813813,"version":"4.0.1"},"reference-count":24,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[1999,7,1]],"date-time":"1999-07-01T00:00:00Z","timestamp":930787200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[1999,7]]},"abstract":"<jats:p>Spontaneous cerebrospinal fluid (CSF) otorrhea is a rare condition that presents in 2 clinical categories. In congenital labyrinthine malformations, it leads to bouts of meningitis in a hearing-impaired child. In the adult age group, a spontaneous CSF leak almost always results from a dural and bony defect in the tegmen area. Possible pathogenic mechanisms include progressive sagging and rupture of dura through a congenital tegmen dehiscence and progressive bone erosion by aberrant arachnoid granulations. These patients usually present with a middle ear effusion, resulting in clear discharge after myringotomy with tube insertion. Based on 4 patients with a CSF leak from a tegmen defect, this report reviews the clinical findings and diagnostic approach. The surgical management by a 5-layer closure using a transmastoid approach with minicraniotomy is outlined. This procedure offers a relatively simple and reliable method for repair without the inherent risks of a middle fossa craniotomy.<\/jats:p>","DOI":"10.1177\/000348949910800706","type":"journal-article","created":{"date-parts":[[2014,10,3]],"date-time":"2014-10-03T14:38:05Z","timestamp":1412347085000},"page":"653-658","source":"Crossref","is-referenced-by-count":36,"title":["Spontaneous Cerebrospinal Fluid Otorrhea from a Tegmen Defect: Transmastoid Repair with Minicraniotomy"],"prefix":"10.1177","volume":"108","author":[{"given":"Rudolf","family":"Kuhweide","sequence":"first","affiliation":[{"name":"Bruges, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan W.","family":"Casselman","sequence":"additional","affiliation":[{"name":"Bruges, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[1999,7,1]]},"reference":[{"key":"bibr1-000348949910800706","doi-asserted-by":"publisher","DOI":"10.1177\/000348947908800311"},{"key":"bibr2-000348949910800706","first-page":"96","volume":"8","author":"Wetmore SJ","year":"1987","journal-title":"Am J Otol"},{"key":"bibr3-000348949910800706","first-page":"765","volume":"16","author":"May JS","year":"1995","journal-title":"Am J Otol"},{"key":"bibr4-000348949910800706","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1058630"},{"key":"bibr5-000348949910800706","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1058944"},{"key":"bibr6-000348949910800706","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198308000-00012"},{"key":"bibr7-000348949910800706","doi-asserted-by":"publisher","DOI":"10.3109\/00016486509127025"},{"key":"bibr8-000348949910800706","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198606000-00009"},{"key":"bibr9-000348949910800706","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100094834"},{"key":"bibr10-000348949910800706","doi-asserted-by":"publisher","DOI":"10.1002\/lary.1982.92.6.609"},{"key":"bibr11-000348949910800706","doi-asserted-by":"publisher","DOI":"10.1177\/000348949009901102"},{"key":"bibr12-000348949910800706","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1992.01880030119024"},{"key":"bibr13-000348949910800706","doi-asserted-by":"publisher","DOI":"10.1159\/000145473"},{"key":"bibr14-000348949910800706","doi-asserted-by":"publisher","DOI":"10.1148\/122.2.379"},{"key":"bibr15-000348949910800706","first-page":"513","volume":"42","author":"Kuhweide R","year":"1988","journal-title":"Acta Otorhinolaryngol Belg"},{"key":"bibr16-000348949910800706","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100137120"},{"key":"bibr17-000348949910800706","first-page":"198","volume":"18","author":"Jackson CG","year":"1997","journal-title":"Am J Otol"},{"key":"bibr18-000348949910800706","first-page":"552","volume":"13","author":"Bassiouny M","year":"1992","journal-title":"Am J Otol"},{"key":"bibr19-000348949910800706","first-page":"591","volume":"16","author":"Levy LM","year":"1995","journal-title":"Am J Otol"},{"key":"bibr20-000348949910800706","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1978.48.5.0765"},{"key":"bibr21-000348949910800706","doi-asserted-by":"publisher","DOI":"10.1097\/00020840-199702000-00007"},{"key":"bibr22-000348949910800706","first-page":"311","volume":"6","author":"Feenstra L","year":"1985","journal-title":"Am J Otol"},{"key":"bibr23-000348949910800706","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1983.tb01425.x"},{"key":"bibr24-000348949910800706","first-page":"461","volume":"17","author":"Lundy LB","year":"1996","journal-title":"Am J Otol"}],"container-title":["Annals of Otology, Rhinology &amp; Laryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/000348949910800706","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/000348949910800706","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:18:00Z","timestamp":1777375080000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/000348949910800706"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1999,7]]},"references-count":24,"journal-issue":{"issue":"7","published-print":{"date-parts":[[1999,7]]}},"alternative-id":["10.1177\/000348949910800706"],"URL":"https:\/\/doi.org\/10.1177\/000348949910800706","relation":{},"ISSN":["0003-4894","1943-572X"],"issn-type":[{"value":"0003-4894","type":"print"},{"value":"1943-572X","type":"electronic"}],"subject":[],"published":{"date-parts":[[1999,7]]}}}