Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-24T10:58:52.557Z Has data issue: false hasContentIssue false
  • English
  • Français

Cerebrospinal fluid (CSF) otorhinorrhoea following vestibular schwannoma surgery treated by extended subtotal petrosectomy with obliteration

Published online by Cambridge University Press:  29 June 2007

Jona Kronenberg ,
Erez Bendet ,
Gideon Findler  and
Yehudah Roth
Jona Kronenberg*
Affiliation:
Departments of Otorhinolaryngology–Head and Neck Surgery, The Chaim Sheba Medical Center and the Tel-Aviv University Sackler School of Medicine, Tel-Hashomer, Israel
Erez Bendet
Affiliation:
Departments of Otorhinolaryngology–Head and Neck Surgery, The Chaim Sheba Medical Center and the Tel-Aviv University Sackler School of Medicine, Tel-Hashomer, Israel
Gideon Findler
Affiliation:
Departments of Otorhinolaryngology–Head and Neurosurgery The Chaim Sheba Medical Center and the Tel-Aviv University Sackler School of Medicine, Tel-Hashomer, Israel
Yehudah Roth
Affiliation:
Departments of Otorhinolaryngology–Head and Neck Surgery, The Chaim Sheba Medical Center and the Tel-Aviv University Sackler School of Medicine, Tel-Hashomer, Israel
*
Dr Kronenberg, Department of Otorhinolaryngology–Head and Neck Surgery, The Chaim Sheba Medical Center, Tel-Hashomer 52621, Israel
Get access Rights & Permissions [Opens in a new window]

Abstract

Extended subtotal petrosectomy as a treatment for persistent cerebrospinal fluid (CSF) otorhinorrhoea is presented. Four patients were successfully operated on by this technique, all previously having undergone suboccipital removal of vestibular schwannoma: other interventions used had failed to seal the fistulae. The internal auditory canal was the usual pathway for CSF leakage as well as retrosigmoid, retrolabyrinthine, retro- or perifacial cells. Total exenteration of middle ear and mastoid cell tracts, skeletonization of sigmoid sinus, jugular bulb and facial nerve, drilling out of semicircular canals, vestibule, and cochlea, and skeletonization of the internal auditory canal, followed by obliteration, are the main steps of this approach.

Keywords

Cerebrospinal otorrhoeaSchwannomavestibularcomplicationsPetrous bonesurgery
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 107 , Issue 12 , December 1993 , pp. 1122 - 1124
Copyright
Copyright © JLO (1984) Limited 1993

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Coker, N., Jenkins, H. A., Fisch, U. (1986) Obliteration of the middle ear and mastoid cleft in subtotal petrosectomy: indications, technique and results. Annals of Otology, Rhinology and Laryngology 95:5–11CrossRefGoogle ScholarPubMed
Ferrante, L., Paltinsky, E., Acqui, M., Mastronardi, L. (1988) Endaural extracranial repair for cerebrospinal otorrhoea with human fibrin glue: technical note. Journal of Neurology. Neurosurgery and Psychiatry 51:1438–1440CrossRefGoogle ScholarPubMed
Fisch, U., Pillsbury, H. C. (1979) Infratemporal fossa approach to lesions in the temporal bone and base of skull. Archives ofOtolaryngology 105:99–107CrossRefGoogle Scholar
Gacek, R. R. (1976) Mastoid and middle ear cavity obliteration for control of otitis media. Annals of Otology, Rhinology and Laryngology 85:305–309CrossRefGoogle ScholarPubMed
Glasscock, M. E., Hays, J. W., Jackson, C. G. (1978) A one-stage combined approach for the management of large cerebellopontine angle tumors. Laryngoscope 88:1563–1576CrossRefGoogle ScholarPubMed
Harner, S., Laws, E. R. (1982) Translabyrinthine repair for cerebrospinal fluid otorrhoea. Journal of Neurosurgery 57:258–261CrossRefGoogle Scholar
Hicks, G. W., Wright, J. W. Jr., Wright, J. W. 3rd (1980) Cerebrospinal fluid otorrhoea. Laryngoscope 90 (suppl. 25): 1–25CrossRefGoogle Scholar
Myers, D. L., Sataloff, R. T. (1984) Spinal fluid leakage after skull base surgical procedures Otolaryngology Clinics of North America 17:601–612Google Scholar
Solomons, N. B., Robinson, J. M. (1988) Obliteration of mastoid using bone paté. Journal of Laryngology and Otology 102:783–784CrossRefGoogle ScholarPubMed
Swanson, S. E., Chandler, W. E., Kochan, M. J., Bogdasarian, R. S. (1985) Flow-regulated continuous spinal drainage in the management of cerebrospinal fluid fistulas. Laryngoscope 95:104–106Google ScholarPubMed
Walker, A. E. (1956) Cerebrospinal fluid rhinorrhoea following removal of an acoustic neuroma. Journal of Neurosurgery 13:199–204CrossRefGoogle ScholarPubMed
Watanabe, E., Saito, I., Tanishima, T., Iwamura, S., Komatsuzaki, A.(1979) Intramastoid packing for CSF rhinorrhoea following acoustic neurinoma removal. Surgical Neurology 11:309–311Google ScholarPubMed
Wetmore, S. J., Herman, P., Fisch, U. (1987) Spontaneous cerebrospinal fluid otorrhoea. American Journal of Otology 8:96–102Google Scholar