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Titolo:
Middle cranial fossa approach for the repair of spontaneous cerebrospinal fluid otorrhoea using autologous bone pate
Autore:
Dutt, SN; Mirza, S; Irving, RM;
Indirizzi:
Univ Birmingham, Queen Elizabeth Hosp, Dept Neurotol, Birmingham B15 2TH, W Midlands, England Univ Birmingham Birmingham W Midlands England B15 2TH W Midlands, England
Titolo Testata:
CLINICAL OTOLARYNGOLOGY
fascicolo: 2, volume: 26, anno: 2001,
pagine: 117 - 123
SICI:
0307-7772(200104)26:2<117:MCFAFT>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
SURGICAL-MANAGEMENT; BRAIN HERNIATION; TEMPORAL BONE; RECURRENT MENINGITIS; TEGMENTAL DEFECTS; CSF OTORRHEA; EAR; CHILDREN; LEAKS;
Keywords:
cerebrospinal fluid otorrhoea; brain hernias; middle fossa repair; autologous bone pate;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
29
Recensione:
Indirizzi per estratti:
Indirizzo: Dutt, SN 37 Jacoby Pl,Priory Rd, Birmingham B5 7UN, W Midlands, England 37 Jacoby Pl,Priory Rd Birmingham W Midlands England B5 7UN land
Citazione:
S.N. Dutt et al., "Middle cranial fossa approach for the repair of spontaneous cerebrospinal fluid otorrhoea using autologous bone pate", CLIN OTOLAR, 26(2), 2001, pp. 117-123

Abstract

Tegmen plate defects causing cerebrospinal fluid (CSF) leaks and brain hernias have conventionally been repaired using soft tissue grafts by a transmastoid approach. A review of the literature reveals that the results of transmastoid repairs have been less than satisfactory. We present here four patients with spontaneous CSF otorrhoea who had tegmen defects repaired usingthe middle cranial fossa approach. An autologous bone pare slab mixed withfibrin glue with additional temporalis fascia reinforcement was used for the repairs. All four patients had uneventful postoperative periods and havehad no subsequent CSF leak (follow-up range: 1-3 years). We believe that the middle cranial fossa approach is more effective than the transmastoid approach for the repair of CSF leaks and brain hernias through tegmen plate defects. An important additional benefit is hearing preservation. We also recommend the use of bone pate along with soft tissue for the repair in orderto achieve a secure seal. Bone pate can effectively seal multiple defects in the tegmen plate without any risk of migration.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/04/20 alle ore 23:58:19