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Less than 1% cerebrospinal fluid leakage in 1,803 translabyrinthine vestibular schwannoma surgery cases.
Otol Neurotol. 2010 Feb; 31(2):276-83.ON

Abstract

OBJECTIVE

To determine the incidence rate of cerebrospinal fluid (CSF) leak after translabyrinthine vestibular schwannoma surgery since the alteration of the surgical procedure. To compare with previous series and other series in literature.

STUDY DESIGN

Database analysis.

SETTING

Tertiary referral neurotologic private practice.

PATIENTS

A series of 1,803 patients who underwent translabyrinthine vestibular schwannoma surgery between 1993 and 2009. The result of this group was compared with corresponding series.

INTERVENTION

Translabyrinthine and extended translabyrinthine vestibular schwannoma surgery. Literature review and comparison.

MAIN OUTCOME MEASURES

Rates of CSF leak in this series and historical perspective of the outcome.

RESULTS

Fifteen patients (0.8%) of 1,803 cases had CSF leaks. The method used since 1993 has shown a significant improvement compared with major case series of the last 10 years.

CONCLUSION

The methods used in translabyrinthine vestibular schwannoma surgery in our center can reduce CSF leakage to an absolute minimum. Compared with all large series, this could be a new era of translabyrinthine vestibular schwannoma surgery.

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Authors+Show Affiliations

Merkus P
Department of Otorhinolaryngology & Head and Neck Surgery, VU University Medical Center, Amsterdam, the Netherlands. P.Merkus@VUmc.nl
Taibah A
No affiliation info available
Sequino G
No affiliation info available
Sanna M
No affiliation info available

MeSH

AdultAgedDatabases, FactualEar, InnerFemaleHumansMaleMiddle AgedNeuroma, AcousticOtologic Surgical ProceduresPostoperative ComplicationsRetrospective StudiesTomography, X-Ray Computed

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

20042905

Citation

Merkus, Paul, et al. "Less Than 1% Cerebrospinal Fluid Leakage in 1,803 Translabyrinthine Vestibular Schwannoma Surgery Cases." Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, vol. 31, no. 2, 2010, pp. 276-83.
Merkus P, Taibah A, Sequino G, et al. Less than 1% cerebrospinal fluid leakage in 1,803 translabyrinthine vestibular schwannoma surgery cases. Otol Neurotol. 2010;31(2):276-83.
Merkus, P., Taibah, A., Sequino, G., & Sanna, M. (2010). Less than 1% cerebrospinal fluid leakage in 1,803 translabyrinthine vestibular schwannoma surgery cases. Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 31(2), 276-83. https://doi.org/10.1097/MAO.0b013e3181cc06ad
Merkus P, et al. Less Than 1% Cerebrospinal Fluid Leakage in 1,803 Translabyrinthine Vestibular Schwannoma Surgery Cases. Otol Neurotol. 2010;31(2):276-83. PubMed PMID: 20042905.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Less than 1% cerebrospinal fluid leakage in 1,803 translabyrinthine vestibular schwannoma surgery cases. AU - Merkus,Paul, AU - Taibah,Abdelkader, AU - Sequino,Giulio, AU - Sanna,Mario, PY - 2010/1/1/entrez PY - 2010/1/1/pubmed PY - 2010/4/3/medline SP - 276 EP - 83 JF - Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology JO - Otol Neurotol VL - 31 IS - 2 N2 - OBJECTIVE: To determine the incidence rate of cerebrospinal fluid (CSF) leak after translabyrinthine vestibular schwannoma surgery since the alteration of the surgical procedure. To compare with previous series and other series in literature. STUDY DESIGN: Database analysis. SETTING: Tertiary referral neurotologic private practice. PATIENTS: A series of 1,803 patients who underwent translabyrinthine vestibular schwannoma surgery between 1993 and 2009. The result of this group was compared with corresponding series. INTERVENTION: Translabyrinthine and extended translabyrinthine vestibular schwannoma surgery. Literature review and comparison. MAIN OUTCOME MEASURES: Rates of CSF leak in this series and historical perspective of the outcome. RESULTS: Fifteen patients (0.8%) of 1,803 cases had CSF leaks. The method used since 1993 has shown a significant improvement compared with major case series of the last 10 years. CONCLUSION: The methods used in translabyrinthine vestibular schwannoma surgery in our center can reduce CSF leakage to an absolute minimum. Compared with all large series, this could be a new era of translabyrinthine vestibular schwannoma surgery. SN - 1537-4505 UR - https://www.unboundmedicine.com/medline/citation/20042905/Less_than_1_cerebrospinal_fluid_leakage_in_1803_translabyrinthine_vestibular_schwannoma_surgery_cases_ L2 - https://doi.org/10.1097/MAO.0b013e3181cc06ad DB - PRIME DP - Unbound Medicine ER -