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Transmastoid extracranial repair of CSF leaks following acoustic neuroma resection

Published online by Cambridge University Press:  29 June 2007

A. K. Robson*
Affiliation:
Bristol
P. M. Clarke
Affiliation:
Bristol
M. Dilkes
Affiliation:
Bristol
A. R. Maw
Affiliation:
Bristol
*
A. K. Robson, F.R.C.S., Department of Otolaryngology, Clinic 11, Level 6, Bristol Royal Infirmary, Marlborough Street, Bristol BS2

Abstract

Acoustic neuromas may be resected either by a suboccipital craniectomy or translabyrinthine approach; the latter gives good access without unduly traumatising the brainstem, but can lead to a higher incidence of cerebrospinal fluid (CSF) leaks. The surgical management of these leaks can be difficult; we describe a transmastoid extracranial technique using pedicled sternomastoid muscle that has produced complete resolution of the leak in all cases managed in this way.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1989

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References

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