PMID: 15354012Sep 9, 2004Paper

Clinical and radiologic sequelae of the middle fossa approach to the internal auditory canal

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
Tobias StripfRonald G Amedee

Abstract

This retrospective study aimed to characterize the postoperative nonneurotologic complications and radiologic findings after the middle fossa approach to the internal auditory canal (IAC). A grading system for computed tomography (CT) changes was developed. Sixty-two patients operated between 2000 and 2003 had CT scans of the head on the day after surgery. Their charts and films were reviewed. R15 DK 54070-01A1: Tertiary referral center. Nine patients had complications, including seven with cerebrospinal fluid leakage, one with infection, and one with visual disturbances. Only three of these patients had CT changes. Alternatively, 14 patients had CT changes according to our grading system for edema, pneumatocephalus, and hematoma. Three of these patients had complications. The overall complication rate was low (15%), and there were no cases of serious damage to the temporal lobe. The middle fossa approach provides safe access to the IAC. With the use of flexible retractors, serious damage to the temporal lobe can be avoided. The CT scan on the first day after surgery is useful for detecting dangerous hematomas but should be correlated to the patient's condition because of non-specific radiologic changes and the potential for co...Continue Reading

References

Dec 1, 1991·The Journal of Laryngology and Otology·R H Parry
May 23, 2000·The American Journal of Otology·H StaeckerM J McKenna
Nov 8, 2001·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·W H SlatteryK C House
Oct 24, 2002·Otolaryngologic Clinics of North America·W J MannN Marangos
Jan 25, 2003·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Samuel S BeckerLawrence H Pitts

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Citations

Dec 23, 2008·Auris, Nasus, Larynx·Ilka C Naumann, Richard T Miyamoto
Mar 25, 2014·European Annals of Otorhinolaryngology, Head and Neck Diseases·N VincentA Devèze
Dec 1, 2018·Journal of Neurosurgery·Maria Peris-CeldaMichael J Link

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