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Technique to prevent post-operative CSF leak in the translabyrinthine excision of vestibular schwannoma

Published online by Cambridge University Press:  31 May 2006

M. Sanna
Affiliation:
Gruppo Otologico (Piacenza - Rome), Italy.
Rohit
Affiliation:
Gruppo Otologico (Piacenza - Rome), Italy.
L. J. Skinner
Affiliation:
Gruppo Otologico (Piacenza - Rome), Italy.

Abstract

Cerebrospinal fluid (CSF) leak following VS removal is a challenging complication. With experience, it can be seen that anatomical factors such as the extent of pneumatization of the petrous temporal bone and posterior wall of the internal auditory canal play animportant role in contributing to CSF leak. Nevertheless, the risk of post-operative CSF leak remains a major concern for both the surgeon and patient. This paper describes a technique, which we have used since 1994, and which has helped us to achieve the lowest reported rate of post-operative CSF leak in translabyrinthine excision of vestibular schwannoma in the world literature.

Type
Research Article
Copyright
© Royal Society of Medicine Press Limited 2003

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