Elimination of Temporal Bone Cerebrospinal Fluid Otorrhea Using Hydroxyapatite Cement
Objective This report introduces a new method to control cerebrospinal fluid (CSF) otorrhea using hydroxyapatite cement (HAC) via a transmastoid approach. This technique eliminates the need for a transmastoid or middle cranial fossa approach with soft tissue repair and prolonged hospitalization caus...
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| Veröffentlicht in: | The Laryngoscope 2000-10, Vol.110 (10), p.1655-1659 |
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| container_title | The Laryngoscope |
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| creator | Kveton, John F. Goravalingappa, Ravi |
| description | Objective This report introduces a new method to control cerebrospinal fluid (CSF) otorrhea using hydroxyapatite cement (HAC) via a transmastoid approach. This technique eliminates the need for a transmastoid or middle cranial fossa approach with soft tissue repair and prolonged hospitalization caused by lumbar drainage.
Study Design Retrospective review.
Methods Thirteen cases of transmastoid repairs of CSF otorrhea using HAC from August 1996 to February 1999 were reviewed.
Results The CSF leak was controlled in every patient using HAC through a transmastoid approach. The reconstruction involved eight tegmen defects, three posterior fossa dural plate defects, and two congenital inner ear fistula secondary to Mondini malformation. Postoperative wound infection in one patient was the only complication that occurred. The average hospital stay was 48 hours. Follow‐up ranged from 12 to 44 months with no recurrence of CSF otorrhea.
Conclusion The successful use of HAC to control CSF otorrhea through a transmastoid approach reduces patient morbidity by obviating the need for middle cranial fossa approaches, donor soft tissue sites, and spinal drainage. |
| doi_str_mv | 10.1097/00005537-200010000-00016 |
| format | Article |
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Study Design Retrospective review.
Methods Thirteen cases of transmastoid repairs of CSF otorrhea using HAC from August 1996 to February 1999 were reviewed.
Results The CSF leak was controlled in every patient using HAC through a transmastoid approach. The reconstruction involved eight tegmen defects, three posterior fossa dural plate defects, and two congenital inner ear fistula secondary to Mondini malformation. Postoperative wound infection in one patient was the only complication that occurred. The average hospital stay was 48 hours. Follow‐up ranged from 12 to 44 months with no recurrence of CSF otorrhea.
Conclusion The successful use of HAC to control CSF otorrhea through a transmastoid approach reduces patient morbidity by obviating the need for middle cranial fossa approaches, donor soft tissue sites, and spinal drainage.</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1097/00005537-200010000-00016</identifier><identifier>PMID: 11037820</identifier><identifier>CODEN: LARYA8</identifier><language>eng</language><publisher>Hoboken, NJ: John Wiley & Sons, Inc</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Bone Cements ; Cerebrospinal fluid leak ; Cerebrospinal Fluid Otorrhea - etiology ; Cerebrospinal Fluid Otorrhea - therapy ; Child ; Child, Preschool ; Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology ; Follow-Up Studies ; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics ; Humans ; hydroxyapatite cement ; Hydroxyapatites - therapeutic use ; Mastoid ; Medical sciences ; Middle Aged ; Non tumoral diseases ; Otorhinolaryngology. Stomatology ; Postoperative Complications ; Retrospective Studies ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the ear, the auditive nerve and the facial nerve ; Temporal Bone - abnormalities ; Temporal Bone - injuries ; temporal bone disease ; Treatment Outcome</subject><ispartof>The Laryngoscope, 2000-10, Vol.110 (10), p.1655-1659</ispartof><rights>Copyright © 2000 The Triological Society</rights><rights>2000 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5056-382d453a6a153fe04e4daaa3e4980668699152cdd446059845fec28f098b51023</citedby><cites>FETCH-LOGICAL-c5056-382d453a6a153fe04e4daaa3e4980668699152cdd446059845fec28f098b51023</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1097%2F00005537-200010000-00016$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1097%2F00005537-200010000-00016$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>309,310,314,780,784,789,790,1417,23930,23931,25140,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1517540$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11037820$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kveton, John F.</creatorcontrib><creatorcontrib>Goravalingappa, Ravi</creatorcontrib><title>Elimination of Temporal Bone Cerebrospinal Fluid Otorrhea Using Hydroxyapatite Cement</title><title>The Laryngoscope</title><addtitle>The Laryngoscope</addtitle><description>Objective This report introduces a new method to control cerebrospinal fluid (CSF) otorrhea using hydroxyapatite cement (HAC) via a transmastoid approach. This technique eliminates the need for a transmastoid or middle cranial fossa approach with soft tissue repair and prolonged hospitalization caused by lumbar drainage.
Study Design Retrospective review.
Methods Thirteen cases of transmastoid repairs of CSF otorrhea using HAC from August 1996 to February 1999 were reviewed.
Results The CSF leak was controlled in every patient using HAC through a transmastoid approach. The reconstruction involved eight tegmen defects, three posterior fossa dural plate defects, and two congenital inner ear fistula secondary to Mondini malformation. Postoperative wound infection in one patient was the only complication that occurred. The average hospital stay was 48 hours. Follow‐up ranged from 12 to 44 months with no recurrence of CSF otorrhea.
Conclusion The successful use of HAC to control CSF otorrhea through a transmastoid approach reduces patient morbidity by obviating the need for middle cranial fossa approaches, donor soft tissue sites, and spinal drainage.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Bone Cements</subject><subject>Cerebrospinal fluid leak</subject><subject>Cerebrospinal Fluid Otorrhea - etiology</subject><subject>Cerebrospinal Fluid Otorrhea - therapy</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology</subject><subject>Follow-Up Studies</subject><subject>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Humans</subject><subject>hydroxyapatite cement</subject><subject>Hydroxyapatites - therapeutic use</subject><subject>Mastoid</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Non tumoral diseases</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Postoperative Complications</subject><subject>Retrospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the ear, the auditive nerve and the facial nerve</subject><subject>Temporal Bone - abnormalities</subject><subject>Temporal Bone - injuries</subject><subject>temporal bone disease</subject><subject>Treatment Outcome</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE9v1DAQxS0EokvhK6AcELeA_41jH8vSbpFWrVrtCjhZ3sQBgxOndlZ0vz0O2bZXfPGM9Jv3Zh5CBcEfCFbVR5wfAKtKmgsydeVUiGdoQYCRkisFz9ECY8pKCfTbCXqV0q9MVAzwS3RCCGaVpHiBtufeda43owt9EdpiY7shROOLT6G3xdJGu4shDZnwxYXfu6a4HkOMP60ptsn1P4rLQxPD_cEMWWKcJjrbj6_Ri9b4ZN8c_1O0vTjfLC_L9fXqy_JsXdaAQZRM0oYDM8LkrVuLueWNMYZZriQWQgqlCNC6aTgXGJTk0NqayhYruQOSjztF72fdIYa7vU2j7lyqrfemt2GfdEUZkwJwBuUM1vmaFG2rh-g6Ew-aYD1Fqh8i1Y-R6n-R5tG3R4_9rrPN0-Axwwy8OwIm1ca30fS1S08ckAr4hH2esT_O28N_--v12e13AJ7tyLxOOcu4NNr7RxkTf2tRsQr016uVXt2IjaIca8b-AgL7nmE</recordid><startdate>200010</startdate><enddate>200010</enddate><creator>Kveton, John F.</creator><creator>Goravalingappa, Ravi</creator><general>John Wiley & Sons, Inc</general><general>Wiley-Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>200010</creationdate><title>Elimination of Temporal Bone Cerebrospinal Fluid Otorrhea Using Hydroxyapatite Cement</title><author>Kveton, John F. ; Goravalingappa, Ravi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5056-382d453a6a153fe04e4daaa3e4980668699152cdd446059845fec28f098b51023</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Bone Cements</topic><topic>Cerebrospinal fluid leak</topic><topic>Cerebrospinal Fluid Otorrhea - etiology</topic><topic>Cerebrospinal Fluid Otorrhea - therapy</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology</topic><topic>Follow-Up Studies</topic><topic>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Humans</topic><topic>hydroxyapatite cement</topic><topic>Hydroxyapatites - therapeutic use</topic><topic>Mastoid</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Non tumoral diseases</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Postoperative Complications</topic><topic>Retrospective Studies</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the ear, the auditive nerve and the facial nerve</topic><topic>Temporal Bone - abnormalities</topic><topic>Temporal Bone - injuries</topic><topic>temporal bone disease</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kveton, John F.</creatorcontrib><creatorcontrib>Goravalingappa, Ravi</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kveton, John F.</au><au>Goravalingappa, Ravi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Elimination of Temporal Bone Cerebrospinal Fluid Otorrhea Using Hydroxyapatite Cement</atitle><jtitle>The Laryngoscope</jtitle><addtitle>The Laryngoscope</addtitle><date>2000-10</date><risdate>2000</risdate><volume>110</volume><issue>10</issue><spage>1655</spage><epage>1659</epage><pages>1655-1659</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><coden>LARYA8</coden><abstract>Objective This report introduces a new method to control cerebrospinal fluid (CSF) otorrhea using hydroxyapatite cement (HAC) via a transmastoid approach. This technique eliminates the need for a transmastoid or middle cranial fossa approach with soft tissue repair and prolonged hospitalization caused by lumbar drainage.
Study Design Retrospective review.
Methods Thirteen cases of transmastoid repairs of CSF otorrhea using HAC from August 1996 to February 1999 were reviewed.
Results The CSF leak was controlled in every patient using HAC through a transmastoid approach. The reconstruction involved eight tegmen defects, three posterior fossa dural plate defects, and two congenital inner ear fistula secondary to Mondini malformation. Postoperative wound infection in one patient was the only complication that occurred. The average hospital stay was 48 hours. Follow‐up ranged from 12 to 44 months with no recurrence of CSF otorrhea.
Conclusion The successful use of HAC to control CSF otorrhea through a transmastoid approach reduces patient morbidity by obviating the need for middle cranial fossa approaches, donor soft tissue sites, and spinal drainage.</abstract><cop>Hoboken, NJ</cop><pub>John Wiley & Sons, Inc</pub><pmid>11037820</pmid><doi>10.1097/00005537-200010000-00016</doi><tpages>5</tpages></addata></record> |
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| subjects | Adult Aged Biological and medical sciences Bone Cements Cerebrospinal fluid leak Cerebrospinal Fluid Otorrhea - etiology Cerebrospinal Fluid Otorrhea - therapy Child Child, Preschool Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology Follow-Up Studies Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics Humans hydroxyapatite cement Hydroxyapatites - therapeutic use Mastoid Medical sciences Middle Aged Non tumoral diseases Otorhinolaryngology. Stomatology Postoperative Complications Retrospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the ear, the auditive nerve and the facial nerve Temporal Bone - abnormalities Temporal Bone - injuries temporal bone disease Treatment Outcome |
| title | Elimination of Temporal Bone Cerebrospinal Fluid Otorrhea Using Hydroxyapatite Cement |
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