POST MASTOIDECTOMY BRAIN FUNGUS: REPAIR WITH TITANIUM MESH

Abstract

Fungus cerebri by definition is an ulcerated cerebral hernia with granulation tissue protruding from scalp wound. But it can happen at any skull base defect like roof of the middle ear cleft and roof of the nose and sinuses. Fungus cerebri in ear is a rare occurrence in clinical practice. We present a male patient who underwent modified radical mastoidectomy and suffered brain herniation into the mastoid cavity which was repaired using titanium mesh. Tegmen tympani repair using titanium mesh by transmastoid approach is helpful in repairing defects up to 2 cm in diameter. We propose the use of titanium mesh for the reconstruction of tegmen plate defect via transmastoid approach is useful in larger defects.

Keywords: Fungus cerebri, Tegmen antri defect, Titanium mesh