Abstract
CSF rhinorrhea is a common complication of acoustic neurinoma surgery via the suboccipital route. In this paper we present our incidence of CSF rhinorrhea and our surgical techniques for reducing the risk of this post-surgical complication. Following removal of the acoustic neurinoma, the drilled posterior wall of the internal auditory canal is covered with bonewax, muscle or fat pieces, and fibrin-glue, while the previously reflected dura is sutured in place keeping the packing material in position. Bone chips removed during the cramectomy are then mixed with fibrin glue and are used for a cranioplasty. Although we routinely perform aggressive drilling of internal auditory canal to facilitate total removal of the acoustic neurinoma, only 1 out of 94 consecutive cases (1%) showed postoperative CSF rhinorrhea. Since previous reports mention the rate of this complication following acoustic neurinoma surgery varies between 4% and 27%, we believe that our methods may be useful in helping reduce the incidence of postoperative rhinorrhea.
| Original language | English |
|---|---|
| Pages (from-to) | 181-183 |
| Number of pages | 3 |
| Journal | Skull Base Surgery |
| Volume | 8 |
| Issue number | 4 |
| Publication status | Published - 1998 |
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ASJC Scopus subject areas
- Clinical Neurology
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Tips for preventing cerebrospinal fluid rhinorrhea after acoustic neurinoma surgery : Technical note. / Date, Isao; Asari, Shoji; Ohmoto, Takashi.
In: Skull Base Surgery, Vol. 8, No. 4, 1998, p. 181-183.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Tips for preventing cerebrospinal fluid rhinorrhea after acoustic neurinoma surgery
T2 - Technical note
AU - Date, Isao
AU - Asari, Shoji
AU - Ohmoto, Takashi
PY - 1998
Y1 - 1998
N2 - CSF rhinorrhea is a common complication of acoustic neurinoma surgery via the suboccipital route. In this paper we present our incidence of CSF rhinorrhea and our surgical techniques for reducing the risk of this post-surgical complication. Following removal of the acoustic neurinoma, the drilled posterior wall of the internal auditory canal is covered with bonewax, muscle or fat pieces, and fibrin-glue, while the previously reflected dura is sutured in place keeping the packing material in position. Bone chips removed during the cramectomy are then mixed with fibrin glue and are used for a cranioplasty. Although we routinely perform aggressive drilling of internal auditory canal to facilitate total removal of the acoustic neurinoma, only 1 out of 94 consecutive cases (1%) showed postoperative CSF rhinorrhea. Since previous reports mention the rate of this complication following acoustic neurinoma surgery varies between 4% and 27%, we believe that our methods may be useful in helping reduce the incidence of postoperative rhinorrhea.
AB - CSF rhinorrhea is a common complication of acoustic neurinoma surgery via the suboccipital route. In this paper we present our incidence of CSF rhinorrhea and our surgical techniques for reducing the risk of this post-surgical complication. Following removal of the acoustic neurinoma, the drilled posterior wall of the internal auditory canal is covered with bonewax, muscle or fat pieces, and fibrin-glue, while the previously reflected dura is sutured in place keeping the packing material in position. Bone chips removed during the cramectomy are then mixed with fibrin glue and are used for a cranioplasty. Although we routinely perform aggressive drilling of internal auditory canal to facilitate total removal of the acoustic neurinoma, only 1 out of 94 consecutive cases (1%) showed postoperative CSF rhinorrhea. Since previous reports mention the rate of this complication following acoustic neurinoma surgery varies between 4% and 27%, we believe that our methods may be useful in helping reduce the incidence of postoperative rhinorrhea.
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UR - http://www.scopus.com/inward/citedby.url?scp=0032434698&partnerID=8YFLogxK
M3 - Article
VL - 8
SP - 181
EP - 183
JO - Journal of Neurological Surgery, Part B: Skull Base
JF - Journal of Neurological Surgery, Part B: Skull Base
SN - 2193-6331
IS - 4
ER -