Transmastoid Approach to Repair Iatrogenic Cerebrospinal Fluid Otorhinorrhea After Cerebellopontine Angle Tumor Resection
BACKGROUND: The precise treatment of iatrogenic cerebrospinal fluid (CSF) otorhinorrhea has been poorly studied. The purpose of the study was to investigate the clinical manifestation, surgical results, and management of CSF leak. METHODS: Electronic medical record database of iatrogenic CSF leak...
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| Format: | Article |
| Language: | English |
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AVES
2024-01-01
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| Series: | Journal of International Advanced Otology |
| Online Access: | https://www.advancedotology.org/en/transmastoid-approach-to-repair-iatrogenic-cerebrospinal-fluid-otorhinorrhea-after-cerebellopontine-angle-tumor-resection-131896 |
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| _version_ | 1849307639074258944 |
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| author | Chenyu Chen Chaojun Zeng Zhifeng Chen Zhen Chen Chang Lin |
| author_facet | Chenyu Chen Chaojun Zeng Zhifeng Chen Zhen Chen Chang Lin |
| author_sort | Chenyu Chen |
| collection | DOAJ |
| description | BACKGROUND: The precise treatment of iatrogenic cerebrospinal fluid (CSF) otorhinorrhea has been poorly studied. The purpose of the study was to investigate the clinical manifestation, surgical results, and management of CSF leak.
METHODS: Electronic medical record database of iatrogenic CSF leaks after erebellopontine angle(CPA) surgery from 2019 to 2022 was retrospectively analyzed. Three patients returned to the hospital with the complication of CSF leak. After failed attempts of conservative strategies or reverse surgical repair, adipose tissue was applied to the mastoid cracks repair.
RESULTS: With the techniques described above, the CSF leaks were successfully settled. The identified patients were observed for at least 10 months. and there was no recurrence or other complications.
CONCLUSION: Conservative treatment and initial surgical methods for occult postoperative CSF leaks are prone to delay effective results, particularly in patients with well-evaporated temporal bone. This complication can be minimized with transmastoid closure utilizing autologous fat. |
| format | Article |
| id | doaj-art-2b2e175bb6ee49ff835d7480419a0baf |
| institution | Kabale University |
| issn | 2148-3817 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | AVES |
| record_format | Article |
| series | Journal of International Advanced Otology |
| spelling | doaj-art-2b2e175bb6ee49ff835d7480419a0baf2025-08-20T03:54:42ZengAVESJournal of International Advanced Otology2148-38172024-01-01201262910.5152/iao.2024.231084Transmastoid Approach to Repair Iatrogenic Cerebrospinal Fluid Otorhinorrhea After Cerebellopontine Angle Tumor ResectionChenyu Chen0Chaojun Zeng1Zhifeng Chen2Zhen Chen 3Chang Lin4Department of Otorhinolaryngology, Head and Neck Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China ; Department of Otorhinolaryngology, Head and Neck Surgery, National Regional Medical Center, Binhai Campus of The First Affiliated Hospital, Fujian Medical University, Fuzhou, China ; Fujian Branch of National Clinical Medical Research Center for Otorhinolaryngologic Diseases, Fuzhou, ChinaDepartment of Otorhinolaryngology, Head and Neck Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China ; Department of Otorhinolaryngology, Head and Neck Surgery, National Regional Medical Center, Binhai Campus of The First Affiliated Hospital, Fujian Medical University, Fuzhou, China ; Fujian Branch of National Clinical Medical Research Center for Otorhinolaryngologic Diseases, Fuzhou, ChinaDepartment of Otorhinolaryngology, Head and Neck Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China ; Department of Otorhinolaryngology, Head and Neck Surgery, National Regional Medical Center, Binhai Campus of The First Affiliated Hospital, Fujian Medical University, Fuzhou, China ; Fujian Branch of National Clinical Medical Research Center for Otorhinolaryngologic Diseases, Fuzhou, ChinaDepartment of Otorhinolaryngology, Head and Neck Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China ; Department of Otorhinolaryngology, Head and Neck Surgery, National Regional Medical Center, Binhai Campus of The First Affiliated Hospital, Fujian Medical University, Fuzhou, ChinaDepartment of Otorhinolaryngology, Head and Neck Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China ; Department of Otorhinolaryngology, Head and Neck Surgery, National Regional Medical Center, Binhai Campus of The First Affiliated Hospital, Fujian Medical University, Fuzhou, China ; Fujian Branch of National Clinical Medical Research Center for Otorhinolaryngologic Diseases, Fuzhou, ChinaBACKGROUND: The precise treatment of iatrogenic cerebrospinal fluid (CSF) otorhinorrhea has been poorly studied. The purpose of the study was to investigate the clinical manifestation, surgical results, and management of CSF leak. METHODS: Electronic medical record database of iatrogenic CSF leaks after erebellopontine angle(CPA) surgery from 2019 to 2022 was retrospectively analyzed. Three patients returned to the hospital with the complication of CSF leak. After failed attempts of conservative strategies or reverse surgical repair, adipose tissue was applied to the mastoid cracks repair. RESULTS: With the techniques described above, the CSF leaks were successfully settled. The identified patients were observed for at least 10 months. and there was no recurrence or other complications. CONCLUSION: Conservative treatment and initial surgical methods for occult postoperative CSF leaks are prone to delay effective results, particularly in patients with well-evaporated temporal bone. This complication can be minimized with transmastoid closure utilizing autologous fat.https://www.advancedotology.org/en/transmastoid-approach-to-repair-iatrogenic-cerebrospinal-fluid-otorhinorrhea-after-cerebellopontine-angle-tumor-resection-131896 |
| spellingShingle | Chenyu Chen Chaojun Zeng Zhifeng Chen Zhen Chen Chang Lin Transmastoid Approach to Repair Iatrogenic Cerebrospinal Fluid Otorhinorrhea After Cerebellopontine Angle Tumor Resection Journal of International Advanced Otology |
| title | Transmastoid Approach to Repair Iatrogenic Cerebrospinal Fluid Otorhinorrhea After Cerebellopontine Angle Tumor Resection |
| title_full | Transmastoid Approach to Repair Iatrogenic Cerebrospinal Fluid Otorhinorrhea After Cerebellopontine Angle Tumor Resection |
| title_fullStr | Transmastoid Approach to Repair Iatrogenic Cerebrospinal Fluid Otorhinorrhea After Cerebellopontine Angle Tumor Resection |
| title_full_unstemmed | Transmastoid Approach to Repair Iatrogenic Cerebrospinal Fluid Otorhinorrhea After Cerebellopontine Angle Tumor Resection |
| title_short | Transmastoid Approach to Repair Iatrogenic Cerebrospinal Fluid Otorhinorrhea After Cerebellopontine Angle Tumor Resection |
| title_sort | transmastoid approach to repair iatrogenic cerebrospinal fluid otorhinorrhea after cerebellopontine angle tumor resection |
| url | https://www.advancedotology.org/en/transmastoid-approach-to-repair-iatrogenic-cerebrospinal-fluid-otorhinorrhea-after-cerebellopontine-angle-tumor-resection-131896 |
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