title: Transmastoid extracranial repair of CSF leaks following acoustic neuroma resection.
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.
authors.affiliation: Department of Otolaryngology, Bristol Royal Infirmary.
authors.forename: A K
authors.initials: AK
authors.lastname: Robson
authors.forename: P M
authors.initials: PM
authors.lastname: Clarke
authors.forename: M
authors.initials: M
authors.lastname: Dilkes
authors.forename: A R
authors.initials: AR
authors.lastname: Maw
mesh_terms: D000328:Adult; D002559:Cerebrospinal Fluid Rhinorrhea / Q000209:etiology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008581:Meningitis / Q000209:etiology / Q000601:surgery; D008722:Methods; D008875:Middle Aged; D009464:Neuroma, Acoustic / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation; D013524:Surgical Flaps; D013997:Time Factors