Transmastoid extracranial repair of CSF leaks following acoustic neuroma resection.
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.
Robson
A K
AK
Department of Otolaryngology, Bristol Royal Infirmary.
Clarke
P M
PM
Dilkes
M
M
Maw
A R
AR
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