Causal analysis and management strategies of cerebrospinal fluid leakage following translabyrinthine approach for acoustic neuromas / 中华耳鼻咽喉头颈外科杂志
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
;
(12): 200-204, 2014.
Artículo
en Chino
| WPRIM
| ID: wpr-302974
ABSTRACT
<p><b>OBJECTIVE</b>The purpose of the report was to investigate the causes of CSF leakage and discuss the methods for prevention and management of CSF leakage following translabyrinthine resection of acoustic neuromas.</p><p><b>METHODS</b>A retrospective review of cerebrospinal fluid leakage following translabyrinthine approach for 152 acoustic neuromas patients, from January 1983 to December 2013, was performed. The cases were divided into two groups, traditional and modified closure techniques. The incidence of CSF leakage was compared between the two groups.</p><p><b>RESULTS</b>The incidence of postoperative CSF leakage by translabyrinthine approach was 5.9% (9/152), with four cases of rhinorrhea, two case of wound leakage, one case of rhinorrhea and otorrhea, one case of otorrhea, and one case of rhinorrhea and wound leakage. The CSF leakage incidence of traditional closure technique was 14.3% (5/35); the incidence of modified closure technique was 3.4% (4/117). After introducing a modified closure technique, the incidence of the CSF leakage significantly decreased.</p><p><b>CONCLUSIONS</b>As a common complication of translabyrinthine approach, the incidence of CSF leakage is closely related to the closure technique. The incidence of the CSF leakage should decrease dramatically when adopting the modified closure technique.</p>
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Complicaciones Posoperatorias
/
Cirugía General
/
Procedimientos Quirúrgicos Otológicos
/
Neuroma Acústico
/
Estudios Retrospectivos
/
Craneotomía
/
Pérdida de Líquido Cefalorraquídeo
/
Oído Interno
/
Métodos
Tipo de estudio:
Estudio observacional
Límite:
Adulto
/
Femenino
/
Humanos
/
Masculino
Idioma:
Chino
Revista:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
Año:
2014
Tipo del documento:
Artículo
Similares
MEDLINE
...
LILACS
LIS