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


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.

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Copyright © JLO (1984) Limited 1989

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