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经迷路听神经瘤手术后的脑脊液漏

Cerebrospinal fluid leak after translabyrinthine acoustic neuroma surgery.

作者信息

Celikkanat S M, Saleh E, Khashaba A, Taibah A, Russo A, Mazzoni A, Sanna M

机构信息

Gruppo Otologico, Numune Hospital, Piacenza, Italy.

出版信息

Otolaryngol Head Neck Surg. 1995 Jun;112(6):654-8. doi: 10.1016/S0194-59989570171-0.

DOI:10.1016/S0194-59989570171-0
PMID:7777347
Abstract

Cerebrospinal fluid leakage is the most common complication of translabyrinthine acoustic neuroma surgery. This retrospective study reviews patients who had translabyrinthine acoustic neuroma surgery at the Gruppo Otologico, Piacenza, Italy, and ENT Department of Bergamo General Hospital, Bergamo, Italy, during the last 6 years. The incidence of postoperative cerebrospinal fluid leakage was 6.2%, and 75% of these patients underwent another surgery to control the cerebrospinal fluid leakage. A modification of translabyrinthine approach was used in patients with highly pneumatized temporal bones to prevent cerebrospinal fluid leakage in these high-risk patients.

摘要

脑脊液漏是经迷路入路听神经瘤手术最常见的并发症。这项回顾性研究对过去6年在意大利皮亚琴察的Gruppo Otologico以及意大利贝加莫综合医院耳鼻喉科接受经迷路入路听神经瘤手术的患者进行了评估。术后脑脊液漏的发生率为6.2%,其中75%的患者接受了再次手术以控制脑脊液漏。对于颞骨气化程度高的患者,采用改良的经迷路入路以防止这些高危患者发生脑脊液漏。

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Skull Base Surg. 1999;9(4):239-42. doi: 10.1055/s-2008-1058132.
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Skull Base. 2001 May;11(2):137-42. doi: 10.1055/s-2001-14434.