Surgical Treatment for Cerebrospinal Fluid Leaks in Patients With Inner Ear Malformations.

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology
Emilie BoisThierry Van Den Abbeele

Abstract

The aim of this study is to present our technique of surgical closure in a series of patients suffering from cerebrospinal fluid (CSF) leak due to inner ear malformations. We conducted a retrospective study in our tertiary care academic department of pediatric otolaryngology. We did include all patients who presented a CSF leak or bacterial meningitis (one episode or recurrent) related to a malformation of the inner ear. Through a retro-auricular or endaural approach we performed a filling of the vestibule cavity with multiple fragments of cartilage with perichondrium introduced through the oval window, after stapedectomy until a near-complete sealing was obtained. After the surgery, all patients received a treatment with acetazolamide during 15 days. We did evaluate our technics with the recurrence of CSF leak. Thirteen patients, from 1 to 14, were operated with our technics. With a follow-up of 4.4 ± 4.7 years, only one patient needed a second intervention. None had a novel episode of meningitis. We observed no complication. The leak was observed in the oval fossa in 11 cases. Our "minimally invasive" technique of vestibular obliteration with cartilage inserted through the oval window after stapedectomy did demonstrate its sa...Continue Reading

References

Oct 1, 1976·The Laryngoscope·S C Parisier, E A Birken
Sep 1, 1986·International Journal of Pediatric Otorhinolaryngology·S KomuneT Morimitsu
Jun 1, 1985·The Laryngoscope·C Herther, R A Schindler
Mar 1, 1996·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·D LouaibJ Gaudelus
Dec 4, 2002·The Laryngoscope·Levent Sennaroglu, Isil Saatci
Jan 7, 2003·The Laryngoscope·Athanasia SavvaCharles W Beatty
May 25, 2005·International Journal of Pediatric Otorhinolaryngology·Rajan SyalAmit Goyal
Dec 17, 2008·Clinical Pediatrics·Fang-Ching LiuChen-Fu Lin
Mar 5, 2009·European Journal of Pediatrics·Dilek Yilmaz CiftdoğanFadil Vardar
May 27, 2010·Pediatrics International : Official Journal of the Japan Pediatric Society·Ayako KamataKeiji Kinoshita
Nov 1, 2011·Pediatrics and Neonatology·Tien-Hau LienLuan-Yin Chang
Jan 2, 2013·Pediatrics and Neonatology·Chien-Yu LinNan-Chang Chiu
Jun 5, 2013·International Forum of Allergy & Rhinology·Mohamad R ChaabanBradford A Woodworth
Dec 18, 2013·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Vedantam RupaVedantam Rajshekhar
Aug 5, 2014·American Journal of Otolaryngology·Jerzy KuczkowskiLukasz Plichta
Jul 24, 2015·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·R Nick HernandezJames K Liu
Nov 7, 2015·Pediatrics International : Official Journal of the Japan Pediatric Society·Hiroaki ShikanoToshiyuki Fukao
Dec 8, 2015·Journal of Developmental and Physical Disabilities·Mazur-Melewska KatarzynaFiglerowicz Magdalena

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bacterial Meningitis

Bacterial meningitis continues to be an important cause of mortality and morbidity throughout the world. Here is the latest research.

CSF & Lymphatic System

This feed focuses on Cerebral Spinal Fluid (CSF) and the lymphatic system. Discover the latest papers using imaging techniques to track CSF outflow into the lymphatic system in animal models.

Bacterial Meningitis (ASM)

Bacterial meningitis continues to be an important cause of mortality and morbidity throughout the world. Here is the latest research.