title: [Combined approach for the treatment of spontaneous temporal encephaloceles: transmastoid plus temporal minicraniotomy].
abstract: Spontaneous encephaloceles are defined as brain herniations with no apparent cause. The aim of this paper is to describe the surgical technique performed in our department. We reviewed the last 3 cases treated with combined approach (transmastoid plus minicraniotomy) with 2-layer closure. In all cases the bone defects were located and successfully sealed. We had no postoperative complications. There were no relapses in our follow-up period. The transmastoid approach has the advantage over the open approach with middle fossa craniotomy in that it locates the bone defect with no brain retraction. Nevertheless, it is not useful in large-sized, multiple or anterior defects. Due to those drawbacks, we think that the combined approach with temporal minicraniotomy is the best choice for this entity.
authors: Servicio de Otorrinolaringología, Sección de Otoneurología, Hospital Universitario Son Espases, Palma de Mallorca, Islas Baleares, España. Electronic address: julioramalopez@hotmail.com.
authors: Julio
authors: J
authors: Rama-López
authors: Servicio de Otorrinolaringología, Sección de Otoneurología, Hospital Universitario Son Espases, Palma de Mallorca, Islas Baleares, España.
authors: Rosana
authors: R
authors: Rodríguez-Villalba
authors: Servicio de Otorrinolaringología, Sección de Otoneurología, Hospital Universitario Son Espases, Palma de Mallorca, Islas Baleares, España.
authors: Pedro
authors: P
authors: Sarría-Echegaray
authors: Servicio de Otorrinolaringología, Sección de Otoneurología, Hospital Universitario Son Espases, Palma de Mallorca, Islas Baleares, España.
authors: Manuel
authors: M
authors: Tomás-Barberán
mesh_terms: D000368:Aged; D003399:Craniotomy / Q000379:methods*; D004677:Encephalocele / Q000601:surgery*; D005260:Female; D006801:Humans; D008416:Mastoid; D008875:Middle Aged; D013701:Temporal Bone / Q000601:surgery*
keywords: CSF otorrhea; Cerebrospinal fluid leak; Encefalocele; Encephalocele; Fístula de líquido cefalorraquídeo; Mastoidectomía; Minicraneotomía; Minicraniotomy; Otolicuorrea; Transmastoid