PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of skullbasesurgInstructions for AuthorsSubscribe to Skull BaseAbout Skull BaseEditorial BoardThieme Medical PublishingSkull Base An Interdisciplinary Approach ...
 
Skull base surgery. 1991 July; 1(3): 168, 169-170.
PMCID: PMC1656286

Cerebrospinal Fluid Otorrhea Treated by Extended Subtotal Petrosectomy with Obliteration

Abstract

Extended subtotal petrosectomy as a treatment for stubborn cerebrospinal fluid (CSF) otorrhea is presented. Nine patients were successfully operated on by this technique, all previously having undergone surgery for brain or base of skull lesions, other interventions used had failed to seal the fistula. The retrosigmoid cells, facial cells, and internal auditory canal were found in our study to be the most commonly involved during pervious neurosurgery and so constituted the usual path for CSF leakage. Total exenteration of middle ear and mastoid cell tracts, skeletization of sigmoid sinus, jugular bulb and facial nerve, drilling out of the semicircular canals, vestibulum, and cochlea, and skeletization of the internal auditory canal are the main steps of this approach.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (598K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Myers DL, Sataloff RT. Spinal fluid leakage after skull base surgical procedures. Otolaryngol Clin North Am. 1984 Aug;17(3):601–612. [PubMed]
  • Wetmore SJ, Herrmann P, Fisch U. Spontaneous cerebrospinal fluid otorrhea. Am J Otol. 1987 Mar;8(2):96–102. [PubMed]
  • Harner SG, Laws ER., Jr Translabyrinthine repair for cerebrospinal fluid otorhinorrhea. J Neurosurg. 1982 Aug;57(2):258–261. [PubMed]
  • Watanabe E, Saito I, Tanishima T, Iwamura S, Komatsuzaki A. Intramastoid packing for CSF rhinorrhea following acoustic neurinoma removal. Surg Neurol. 1979 Apr;11(4):309–311. [PubMed]
  • Fisch U, Pillsbury HC. Infratemporal fossa approach to lesions in the temporal bone and base of the skull. Arch Otolaryngol. 1979 Feb;105(2):99–107. [PubMed]
  • Coker NJ, Jenkins HA, Fisch U. Obliteration of the middle ear and mastoid cleft in subtotal petrosectomy: indications, technique, and results. Ann Otol Rhinol Laryngol. 1986 Jan-Feb;95(1 Pt 1):5–11. [PubMed]
  • Glasscock ME, 3rd, Hays JW, Jackson CG, Steenerson RL. A one-stage combined approach for the management of large cerebellopontine angle tumors. Laryngoscope. 1978 Oct;88(10):1563–1576. [PubMed]
  • Swanson SE, Chandler WF, Kocan MJ, Bogdasarian RS. Flow-regulated continuous spinal drainage in the management of cerebrospinal fluid fistulas. Laryngoscope. 1985 Jan;95(1):104–106. [PubMed]
  • RAMBO JHT. Musculoplasty: a new operation for suppurative middle ear deafness. Trans Am Acad Ophthalmol Otolaryngol. 1958 Mar-Apr;62(2):166–177. [PubMed]
  • Gacek RR. Mastoid and middle ear cavity obliteration for control of otitis media. Ann Otol Rhinol Laryngol. 1976 May-Jun;85(3 Pt 1):305–309. [PubMed]
  • Solomons NB, Robinson JM. Obliteration of mastoid cavities using bone pâté. J Laryngol Otol. 1988 Sep;102(9):783–784. [PubMed]
  • Ferrante L, Palatinsky E, Acqui M, Mastronardi L. Endaural extracranial repair for cerebrospinal otorrhoea with human fibrin glue: technical note. J Neurol Neurosurg Psychiatry. 1988 Nov;51(11):1438–1440. [PMC free article] [PubMed]
  • Hicks GW, Wright JW, Jr, Wright JW., 3rd Cerebrospinal fluid otorrhea. Laryngoscope. 1980 Nov;90(11 Pt 2 Suppl 25):1–25. [PubMed]

Articles from Skull Base Surgery are provided here courtesy of Thieme Medical Publishers