Robson A K, Clarke P M, Dilkes M, Maw A R
Department of Otolaryngology, Bristol Royal Infirmary.
J Laryngol Otol. 1989 Sep;103(9):842-4. doi: 10.1017/s0022215100110266.
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.
