Falcioni M, Taibah A, De Donato G, Russo A, Sanna M
Acta Otorhinolaryngol Ital. 1998 Apr;18(2):63-9.
Cerebrospinal fluid (CSF) leak is one of the most dangerous complications that can arise in cases of acoustic neuroma removal. It increases the risk of meningitis, requires longer postoperative recovery and often requires revision surgery. A retrospective analysis was performed on all cases of acoustic neuromas which had undergone translabyrinthine surgery at the Gruppo Otologico, Piacenza, Italy, between April 1987 and December 1997, in the aim of finding the causes of postoperative CSF leaks. The causes found were high pneumatization of the temporal bone and improper execution of some surgical steps. The technique has presently been modified on the basis of the experience gained from cases of CSF leaks. By scrupulously applying these modifications, from July 1994 to December 1997, a total of 160 patients were consecutively treated using the translabyrinthine approach without a single case of postoperative CSF leak. Routine use of this modified technique can and must lower the percentage of CSF leaks after a translabyrinthine surgery to nearly 0%.
脑脊液漏是听神经瘤切除术后可能出现的最危险并发症之一。它会增加脑膜炎的风险，需要更长的术后恢复时间，并且常常需要进行翻修手术。对1987年4月至1997年12月期间在意大利皮亚琴察的Gruppo Otologico接受经迷路手术的所有听神经瘤病例进行了回顾性分析，目的是找出术后脑脊液漏的原因。发现的原因是颞骨气化过度以及一些手术步骤执行不当。目前已根据脑脊液漏病例所获经验对该技术进行了改进。通过严格应用这些改进措施，从1994年7月至1997年12月，共有160例患者连续采用经迷路入路进行治疗，无一例术后脑脊液漏。常规使用这种改进技术能够且必须将经迷路手术后脑脊液漏的发生率降至几乎为零。
