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Titolo:
Prevention of cerebrospinal fluid rhinorrhea in neurotologic surgery
Autore:
Catalano, PJ; Post, K; Sen, C; Costantino, P; Friedman, C;
Indirizzi:
Mt Sinai Sch Med, Clin Ctr Cranial Base Surg, New York, NY USA Mt Sinai Sch Med New York NY USA Ctr Cranial Base Surg, New York, NY USA Mt Sinai Sch Med, Dept Otolaryngol, New York, NY USA Mt Sinai Sch Med NewYork NY USA Med, Dept Otolaryngol, New York, NY USA Mt Sinai Sch Med, Dept Neurosurg, New York, NY USA Mt Sinai Sch Med New York NY USA h Med, Dept Neurosurg, New York, NY USA Fox Chase Canc Ctr, Dept Surg, Sect Head & Neck Oncol, Philadelphia, PA 19111 USA Fox Chase Canc Ctr Philadelphia PA USA 19111 , Philadelphia, PA 19111 USA
Titolo Testata:
AMERICAN JOURNAL OF OTOLOGY
fascicolo: 2, volume: 21, anno: 2000,
pagine: 265 - 269
SICI:
0192-9763(200003)21:2<265:POCFRI>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
ACOUSTIC NEUROMA SURGERY; HYDROXYAPATITE CEMENT; LEAK; MENINGITIS;
Keywords:
cerebrospinal fluid rhinorrhea; neurotologic surgery; hydroxyapatite cement;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
9
Recensione:
Indirizzi per estratti:
Indirizzo: Catalano, PJ 2709 E 26th St, Sioux Falls, SD 57103 USA 2709 E 26th St Sioux Falls SD USA 57103 Falls, SD 57103 USA
Citazione:
P.J. Catalano et al., "Prevention of cerebrospinal fluid rhinorrhea in neurotologic surgery", AM J OTOL, 21(2), 2000, pp. 265-269

Abstract

Objective: To determine the efficacy and safety of quick-setting hydroxyapatite cement in eliminating cerebrospinal fluid (CSF) rhinorrhea following neurotologic surgery. Study Design: A prospective study of 40 consecutive patients undergoing neurotologic surgery in whom the dura was opened. Setting: All patients were treated as hospital inpatients at a tertiary referral center. Patients: 25 men and 15 women between the ages of 20 and 72 years (mean age 51 years) underwent neurotologic surgery at the parent institution. Intervention: Various neurotologic procedures were per formed for the resection of 25 acoustic tumors, 5 meningiomas, 3 glomus tumors, 2 vestibular nerve sections, 2 chordomas, 1 epidermoid tumor, and 1 meningoencephelocele,and for 2 patients referred to our institution with known CSF leaks following acoustic tumor surgery. A new form of quick-setting hydroxyapatite cement, which that hardens within 3 to 5 minutes was used to seal the air cell tracts of the temporal bone in all cases. Main Outcome Measure: The presence of CSF rhinorrhea postoperatively. Results: CSF rhinorrhea occurred in 2 patients following acoustic tumor surgery, the first through an occult air cell tract at the margin of the drilled internal auditory canal, and the second via an oval window fistula 1 month after a translabyrinthine approach. Conclusions: This form of hydroxyapatite cement appears safe, reliable, effective, and economical for the prevention of CSF rhinorrhea following neurotologic surgery. CSF rhinorrhea cannot be eliminated unless our ability toidentify all potential air cell tract communications improves.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/07/20 alle ore 15:58:42