Hostname: page-component-cd9895bd7-q99xh Total loading time: 0 Render date: 2024-12-26T16:46:08.294Z Has data issue: false hasContentIssue false
  • English
  • Français

Transmastoid extracranial repair of CSF leaks following acoustic neuroma resection

Published online by Cambridge University Press:  29 June 2007

A. K. Robson ,
P. M. Clarke ,
M. Dilkes  and
A. R. Maw
A. K. Robson*
Affiliation:
Bristol
P. M. Clarke
Affiliation:
Bristol
M. Dilkes
Affiliation:
Bristol
A. R. Maw
Affiliation:
Bristol
*
A. K. Robson, F.R.C.S., Department of Otolaryngology, Clinic 11, Level 6, Bristol Royal Infirmary, Marlborough Street, Bristol BS2
Get access Rights & Permissions [Opens in a new window]

Abstract

Acoustic neuromas may be resected either by a suboccipital craniectomy or translabyrinthine approach; the latter gives good access without unduly traumatising the brainstem, but can lead to a higher incidence of cerebrospinal fluid (CSF) leaks. The surgical management of these leaks can be difficult; we describe a transmastoid extracranial technique using pedicled sternomastoid muscle that has produced complete resolution of the leak in all cases managed in this way.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 103 , Issue 9 , September 1989 , pp. 842 - 844
Copyright
Copyright © JLO (1984) Limited 1989

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

Gordon, D. S. and Kerr, A. G. (1986) Cerebrospinal fluid rhinorrhoea following surgery for acoustic neurinoma. Report of two cases. Journal of Neurosurgery, 64: 676–678.CrossRefGoogle ScholarPubMed
House, W. F. (1964) Monograph. Transtemporal bone microsurgical removal of acoustic neuromas. Archives of Otolaryngology, 80: 599–756.Google Scholar
King, T. T. and Morrison, A. W. (1980) Translabyrinthine and transtentorial removal of acoustic nerve tumours. Journal of Neurosurgery, 52: 210–216.CrossRefGoogle Scholar
Montgomery, W. W. (1983) Common complications following removal of vestibular schwannoma. Advances in Otorhinolaryngology, 31: 228–239.Google ScholarPubMed
Montgomery, W. W. (1969) Translabyrinthine resection of the small acoustic neuroma. Archives of Otolaryngology, 89: 135–141.Google ScholarPubMed
Park, J.-I., Strelzow, V. V. and Friedman, W. H. (1983) Current management of cerebrospinal fluid rhinorrhoea. Laryngoscope, 93: 1294–1300.CrossRefGoogle Scholar
Tos, M. and Thomsen, J. (1985) Cerebrospinal fluid leak after translabyrinthine surgery for acoustic neuroma. Laryngoscope, 95: 351–354.CrossRefGoogle ScholarPubMed
Von Haacke, N. P. and Croft, C. B. (1983) Cerebrospinal fluid rhinorrhoea and otorrhoea: extracranial repair. Clinical Otolaryngology, 8: 317–327.Google ScholarPubMed