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Closure of the petrous apex of the temporal bone with ionomeric cement following translabyrinthine removal of an acoustic neuroma

Published online by Cambridge University Press:  29 June 2007

J. Helms  and
G. Geyer
J. Helms*
Affiliation:
Department of Otorhinolaryngology, Julius-Maximilians-University, Würzburg, Germany.
G. Geyer
Affiliation:
Department of Otorhinolaryngology, Julius-Maximilians-University, Würzburg, Germany.
*
Professor J. Helms, ENT Department, University of Würzburg, Josef-Schneider-Str, 11, 97080 Würzburg, Germany.
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Abstract

When performing translabyrinthine surgery for acoustic neuroma, the surgeon opens the cerebrospinal fluid space. To prevent the development of post-operative meningitis, the surgical defect should be closed reliably in a watertight fashion. To date, this has been done with success in 12 patients altogether using a self-curing bone cement (ionomeric cement). During follow-up for a maximum of three years there has been no evidence of cerebrospinal fluid leaks.

Keywords

Neuroma, acoustic, surgeryCerebrospinal fluid, leakDental cements, ionomeric
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 108 , Issue 3 , March 1994 , pp. 202 - 205
Copyright
Copyright © JLO (1984) Limited 1994

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References

Brackmann, D. E., Green, J. D. (1992) Translabyrinthine approach for acoustic tumor removal. Otolaryngologic Clinics of North America 25: 311–329.CrossRefGoogle ScholarPubMed
Browne, J. D., Fisch, U. (1992) Transotic approach to the cerebellopontine angle. Otolaryngologic Clinics of North America 25: 331–346.CrossRefGoogle ScholarPubMed
Dutton, J. E. M., Ramsden, R. T., Lye, R. H., Morris, K., Keith, A. O., Page, R., Vafadis, J. (1991) Acoustic neuroma (schwannoma) surgery 1978–1990. Journal of Laryngology and Otology 105: 163–173.CrossRefGoogle ScholarPubMed
Geyer, G., Helms, J. (1992) Plastischer Verschluβ knöcherner Schädellücken mit einem ionomeren Knochenersatzmaterial. OtoRhino-Laryngologia Nova 2: 99–104.Google Scholar
Helms, J., Geyer, G. (1993) Alloplastic materials in skull base reconstruction. In Surgery of Cranial Base Tumors. (Sekhar, L. N., Janecka, I. P., eds.), Raven Press, New York, pp 461–469.Google Scholar
O'Connor, F. A. (1993) (Personal communication).Google Scholar
Ramsden, R. T., Panizza, F., Lye, R. H. (1991) The use of ionomeric bone cement in the prevention of CSF leakage following acoustic neuroma surgery. In Acoustic Neuroma, Proceedings of the First International Conference on Acoustic Neuroma. (Tos, M., Thomsen, J., eds.), Kugler Publications, Amsterdam/New York, pp 725–727.Google Scholar
Ramsden, R. T., Herdmann, R. C. D., Lye, R. H. (1992) Ionomeric bone cement in neuro-otological surgery. Journal of Laryngology and Otology 106: 949–953.CrossRefGoogle ScholarPubMed
Wiet, R. J., Teixido, M., Liang, J. -G. (1992) Complications in acoustic neuroma surgery. Otolaryngologic Clinics of North America 25: 389–412.CrossRefGoogle ScholarPubMed