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Prevention of cerebrospinal fluid leak after translabyrinthine resection of vestibular schwannoma.
Otol Neurotol. 2010 Apr; 31(3):473-7.ON

Abstract

OBJECTIVE

Evaluate the rate of cerebrospinal fluid (CSF) leak after translabyrinthine craniotomy for the removal of vestibular schwannoma and describe details of closure technique.

STUDY DESIGN

Retrospective case review.

SETTING

Tertiary referral center.

PATIENTS

All individuals undergoing translabyrinthine craniotomy for removal of vestibular schwannoma from January 2000 to October 2008.

INTERVENTION

Translabyrinthine craniotomy for removal of vestibular schwannoma with abdominal fat graft harvest and layered closure.

MAIN OUTCOME MEASURES

Presence of cerebrospinal fluid leak and need for additional surgeries or medical interventions.

RESULTS

Sixty-one patients underwent translabyrinthine craniotomy for the removal of vestibular schwannoma during a 9-year period. None of the patients had a CSF leak in the immediate postoperative period or during the mean follow-up period of 31.3 months.

CONCLUSION

Successful wound closure and CSF leak prevention after translabyrinthine craniotomy for the removal of vestibular schwannomas do not require the creation of a facial recess, manipulation of the ossicles, direct Eustachian tube plugging, or the use of alloplastic space-occupying materials. The closure technique used in the current study has proven effective over time with no evidence of CSF leak among patients seen in follow-up.

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Authors+Show Affiliations

Goddard JC
Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, U.S.A.
Oliver ER
No affiliation info available
Lambert PR
No affiliation info available

MeSH

Abdominal FatAdolescentAdultAgedCerebrospinal Fluid OtorrheaCerebrospinal Fluid RhinorrheaCraniotomyFemaleHumansMaleMiddle AgedNeuroma, AcousticOtologic Surgical ProceduresRetrospective StudiesSuture TechniquesTransplantation, AutologousVestibule, Labyrinth

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20084041

Citation

Goddard, John C., et al. "Prevention of Cerebrospinal Fluid Leak After Translabyrinthine Resection of Vestibular Schwannoma." Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, vol. 31, no. 3, 2010, pp. 473-7.
Goddard JC, Oliver ER, Lambert PR. Prevention of cerebrospinal fluid leak after translabyrinthine resection of vestibular schwannoma. Otol Neurotol. 2010;31(3):473-7.
Goddard, J. C., Oliver, E. R., & Lambert, P. R. (2010). Prevention of cerebrospinal fluid leak after translabyrinthine resection of vestibular schwannoma. Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 31(3), 473-7. https://doi.org/10.1097/MAO.0b013e3181cdd8fc
Goddard JC, Oliver ER, Lambert PR. Prevention of Cerebrospinal Fluid Leak After Translabyrinthine Resection of Vestibular Schwannoma. Otol Neurotol. 2010;31(3):473-7. PubMed PMID: 20084041.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prevention of cerebrospinal fluid leak after translabyrinthine resection of vestibular schwannoma. AU - Goddard,John C, AU - Oliver,Eric R, AU - Lambert,Paul R, PY - 2010/1/20/entrez PY - 2010/1/20/pubmed PY - 2010/7/10/medline SP - 473 EP - 7 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 - 3 N2 - OBJECTIVE: Evaluate the rate of cerebrospinal fluid (CSF) leak after translabyrinthine craniotomy for the removal of vestibular schwannoma and describe details of closure technique. STUDY DESIGN: Retrospective case review. SETTING: Tertiary referral center. PATIENTS: All individuals undergoing translabyrinthine craniotomy for removal of vestibular schwannoma from January 2000 to October 2008. INTERVENTION: Translabyrinthine craniotomy for removal of vestibular schwannoma with abdominal fat graft harvest and layered closure. MAIN OUTCOME MEASURES: Presence of cerebrospinal fluid leak and need for additional surgeries or medical interventions. RESULTS: Sixty-one patients underwent translabyrinthine craniotomy for the removal of vestibular schwannoma during a 9-year period. None of the patients had a CSF leak in the immediate postoperative period or during the mean follow-up period of 31.3 months. CONCLUSION: Successful wound closure and CSF leak prevention after translabyrinthine craniotomy for the removal of vestibular schwannomas do not require the creation of a facial recess, manipulation of the ossicles, direct Eustachian tube plugging, or the use of alloplastic space-occupying materials. The closure technique used in the current study has proven effective over time with no evidence of CSF leak among patients seen in follow-up. SN - 1537-4505 UR - https://www.unboundmedicine.com/medline/citation/20084041/Prevention_of_cerebrospinal_fluid_leak_after_translabyrinthine_resection_of_vestibular_schwannoma_ L2 - https://doi.org/10.1097/MAO.0b013e3181cdd8fc DB - PRIME DP - Unbound Medicine ER -