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Titolo:
Prevention and management of cerebrospinal fluid fistula after transtemporal skull base surgery
Autore:
Leonetti, JP; Anderson, D; Marzo, S; Moynihan, G;
Indirizzi:
Loyola Univ, Med Ctr, Dept Otolaryngol Head & Neck Surg, Maywood, IL 60153USA Loyola Univ Maywood IL USA 60153 l Head & Neck Surg, Maywood, IL 60153USA Loyola Ctr Cranial Base Surg, Dept Otolaryngol Head & Neck Surg, Maywood, IL USA Loyola Ctr Cranial Base Surg Maywood IL USA & Neck Surg, Maywood, IL USA Loyola Ctr Cranial Base Surg, Dept Neurol Surg, Maywood, IL USA Loyola CtrCranial Base Surg Maywood IL USA Neurol Surg, Maywood, IL USA
Titolo Testata:
SKULL BASE-AN INTERDISCIPLINARY APPROACH
fascicolo: 2, volume: 11, anno: 2001,
pagine: 87 - 92
SICI:
1531-5010(2001)11:2<87:PAMOCF>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
CEREBELLOPONTINE ANGLE; RETROSIGMOID APPROACH;
Keywords:
cerebrospinal fluid fistula; transtemporal approach; meningitis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
14
Recensione:
Indirizzi per estratti:
Indirizzo: Leonetti, JP Loyola Univ, Med Ctr, Dept Otolaryngol Head & Neck Surg, 2160S 1st Ave, Maywood, IL 60153 USA Loyola Univ 2160 S 1st Ave Maywood IL USA60153 IL 60153 USA
Citazione:
J.P. Leonetti et al., "Prevention and management of cerebrospinal fluid fistula after transtemporal skull base surgery", SKULL BASE, 11(2), 2001, pp. 87-92

Abstract

The incidence of cerebrospinal fluid (CSF) fistula after transtemporal skull base surgery can range from 4% to 19%. The risk of CSF leak may be related to tumor size and location, the extent of the dural defect, and the technical aspects of the wound reconstruction. Prevention of meningitis dependson the early detection and management of CSF leakage. Five hundred eighty-nine patients underwent a variety of transtemporal surgical approaches for the extirpation of skull base tumors at our institution from July 1988 to October 1999. The medical records were reviewed retrospectively to identify the tumor histology, size, and location, as well as the surgical approach, defect reconstruction technique, and the incidence of postoperative CSF leak. The risk of CSF fistulae was greatest in using the retrosigmoid approach(8%) and lowest in those who underwent a translabyrinthine approach (4%). Tumor size had no bearing on the incidence of the CSF leak and the overall incidence of meningitis was 1.0%. This article outlines our institutional objective for the prevention and management of CSF fistula after transtemporal skull base surgery. Illustrative cases will be presented.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/03/20 alle ore 09:12:16