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Vol. 67, No. 1, 2005
Issue release date: 2005
Section title: Original Paper
ORL 2005;67:51–55
(DOI:10.1159/000084306)

Cerebrospinal Fluid Leaks of Temporal Bone Origin: Etiology and Management

Stenzel M. · Preuss S. · Orloff L. · Jecker P. · Mann W.
aDepartment of Otorhinolaryngology, University Hospital, School of Medicine, Mainz, Germany; bDivision of Otolaryngology, University of California, San Diego, Calif., USA

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 5/18/2004
Accepted: 10/1/2004
Published online: 3/7/2005

Number of Print Pages: 5
Number of Figures: 1
Number of Tables: 1

ISSN: 0301-1569 (Print)
eISSN: 1423-0275 (Online)

For additional information: http://www.karger.com/ORL

Abstract

Background: Cerebrospinal fluid (CSF) leaks of the temporal bone region require surgical treatment as they pose life-threatening risks such as meningitis. Aim: The aim of the study was to determine the surgical outcome depending on different operation techniques and grafts. Method: We performed a retrospective review of 28 cases of CSF leaks, operated in our department from 1983 to 2002. After a mean follow-up of 8 years, patients were interviewed concerning otorrhea or rhinorrhea and meningitis. In this context, our management of CSF leaks is presented. Results: The CSF leak had arisen spontaneously (n = 3), traumatically (n = 6) or postoperatively (n = 19). The surgical CSF leak repairs were performed via a transmastoid (n = 13), a middle fossa (n = 11) or a combined (n = 4) approach. Surgical outcome was independent on the used graft. CSF leak could be sealed in 25 of 28 cases. Only 3 patients suffered from recurrences. Meningitis or other complications did not occur. Conclusions: Comparing different techniques and grafts, there were no differences in the surgical outcome.


  

Author Contacts

Mark J. Stenzel, MD
Department of Otorhinolaryngology, University Hospital Mainz
Langenbeckstr. 1
DE–55131 Mainz (Germany)
Tel. +49 6131 171, Fax +49 6131 176637, E-Mail stenzel@hno.klinik.uni-mainz.de

  

Article Information

Received: May 18, 2004
Accepted: October 1, 2004
Published online: March 7, 2005
Number of Print Pages : 5
Number of Figures : 1, Number of Tables : 1, Number of References : 25

  

Publication Details

ORL (Journal for Oto-Rhino-Laryngology and Ist Related Specialties)

Vol. 67, No. 1, Year 2005 (Cover Date: 2005)

Journal Editor: O'Malley, B.W., Jr. (Philadelphia, Pa.)
ISSN: 0301–1569 (Print), eISSN: 1423–0275 (Online)

For additional information: http://www.karger.com/orl


Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 5/18/2004
Accepted: 10/1/2004
Published online: 3/7/2005

Number of Print Pages: 5
Number of Figures: 1
Number of Tables: 1

ISSN: 0301-1569 (Print)
eISSN: 1423-0275 (Online)

For additional information: http://www.karger.com/ORL


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