Table of Contents
To view the fulltext, log-in or choose pay-per-view options:
Get Access

Cerebrospinal Fluid Leaks of Temporal Bone Origin: Etiology and Management

Stenzel M.a · Preuss S.a · Orloff L.b · Jecker P.a · Mann W.a
aDepartment of Otorhinolaryngology, University Hospital, School of Medicine, Mainz, Germany; bDivision of Otolaryngology, University of California, San Diego, Calif., USA ORL 2005;67:51–55 (DOI:10.1159/000084306)

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.

 

Individual Users: Register with Karger Login Information

Please create your User ID & Password





Contact Information











I have read the Karger Terms and Conditions and agree.


Pay-per-View Options
Direct payment This item at the regular price: USD 38.00
Payment from account With a Karger Pay-per-View account (down payment USD 150) you profit from a special rate for this and other single items.
This item at the discounted price: USD 26.50