Cerebrospinal fluid leak after translabyrinthine surgery for acoustic neuroma

Tos, Mirko; Thomsen, Jens

doi:10.1288/00005537-198503000-00026

Cited by 37 publications

(2 citation statements)

References 10 publications

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“…The incidence of cerebrospinal fluid leakage was somewhat higher than that found in recent reports 13,14 and was comparable for both translabyrinthine and posterior fossa approaches.…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Acoustic Neuroma (Vestibular Schwannoma) in the United States

Wiegand

Ojemann

Fickel³

1996

The Laryngoscope

151

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“…The incidence of cerebrospinal fluid leakage was somewhat higher than that found in recent reports 13,14 and was comparable for both translabyrinthine and posterior fossa approaches.…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Acoustic Neuroma (Vestibular Schwannoma) in the United States

Wiegand

Ojemann

Fickel³

1996

The Laryngoscope

151

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“…Key elements of the reconstruction technique that have incrementally lowered the incidence of this complication over many years have included the use of abdominal fat instead of temporalis muscle to close the skull base defect, 2 and layered wound closure and pressure dressing. 3 Whereas post-auricular collections and leaks can be prevented or addressed with appropriate mastoid packing and wound closure, these methods are not sufficient to prevent rhinorrhea, which results from the flow of CSF through mastoid and skull base defects to the middle ear and Eustachian tube.…”

Section: Introductionmentioning

confidence: 99%

Reducing the risk of cerebrospinal fluid rhinorrhea following translabyrinthine surgery of the posterior fossa

Cooper

Ward

Sharon

et al. 2021

World j. otorhinolaryngol.-head neck surg.

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Objective To describe the procedure and results of an adapted closure and reconstruction technique for translabyrinthine surgery that focuses on identifying and managing potential pathways for CSF egress to the middle ear and Eustachian tube. Methods Retrospective review of a cohort of translabyrinthine acoustic neuroma cases that were reconstructed using this technique. Results In addition to meticulous packing of potential conduits using soft tissue, hydroxyapatite cement is used to seal opened air cell tracts prior to obliteration of the mastoid defect using adipose tissue. Early results of a small patient cohort using this technique are encouraging and there were no wound infections. There was a single case of CSF rhinorrhea associated with incomplete sealing of opened petrous apex cells, with no recurrence after appropriate implementation of the described protocol during revision surgery. Conclusion Proactive management of potential conduits of CSF egress including opened air cell tracts has a high likelihood of reducing rates of rhinorrhea and need for revision surgery after the translabyrinthine approach to the posterior fossa.

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Prevention of Cerebrospinal Fluid Leak in Translabyrinthine Surgery

Bynke¹,

Ekvall²

1986

Fibrin Sealant in Operative Medicine

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Cerebrospinal fluid leak after translabyrinthine surgery for acoustic neuroma

Cited by 37 publications

References 10 publications

Surgical Treatment of Acoustic Neuroma (Vestibular Schwannoma) in the United States

Surgical Treatment of Acoustic Neuroma (Vestibular Schwannoma) in the United States

Reducing the risk of cerebrospinal fluid rhinorrhea following translabyrinthine surgery of the posterior fossa

Prevention of Cerebrospinal Fluid Leak in Translabyrinthine Surgery

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