Surgical Management of Temporal Cerebrospinal Fluid Leaks From the Middle Cranial Fossa [0.03%]
岩尖脑脊液鼻漏的外科治疗
Evan C Cumpston,Hunter L Elms,Douglas J Totten et al.
Evan C Cumpston et al.
This article reviews surgical management strategies for temporal bone cerebrospinal fluid leaks arising from the middle cranial fossa. It emphasizes preoperative workup and imaging, surgical techniques-including middle cranial fossa, transm...
Clinical Presentation and Epidemiology of Spontaneous Cerebrospinal Fluid Leaks [0.03%]
自发性脑脊液漏的临床表现和流行病学特征
Chad Purcell,Elisa A Illing
Chad Purcell
Spontaneous cerebrospinal fluid (CSF) leaks are increasingly common for otolaryngologists to identify and treat. Patients may present with clinical symptoms of headache, pulsatile tinnitus, aural fullness, muffled hearing, vertigo, clear ot...
Grafts and Nonvascularized Repair Materials for Anterior Skull Base Defects [0.03%]
前颅底缺损的移植和非血管化修复材料
Zeina Korban,Yara Yammine
Zeina Korban
Anterior skull base reconstruction has shifted toward minimally invasive, multilayer techniques that pair nonvascularized grafts with, when needed, vascularized flaps to achieve a durable, watertight barrier and preserve sinonasal function....
Lacy Brame,Aniruddha Parikh,Kibwei McKinney
Lacy Brame
A variety of techniques exist for the reconstruction of skull base defects. However, the gold standard for skull base reconstruction is vascularized flaps, especially when there is a cerebrospinal fluid leak. The most frequently used flap i...
Shraddha Mukerji,Yi-Chun Carol Liu
Shraddha Mukerji
Pediatric balloon dilation of the Eustachian tube is an emerging intervention for children with persistent Eustachian tube dysfunction refractory to medical therapy and prior surgical management. While most pediatric patients outgrow Eustac...
Lateral Skull Base Pseudomeningoceles: Diagnosis, Prevention, and Treatment [0.03%]
侧颅底假性脑脊液鼻漏的诊断、预防和治疗
Harrison Truong-Smith,Maura Cosetti
Harrison Truong-Smith
Pseudomeningocele is a rare complication of lateral skull base surgery or trauma. The diagnosis of pseudomeningocele relies heavily on clinical examination as well as imaging findings, namely computed tomography to identify skull base defec...
Jared Johnson,Corinna G Levine,Adam Folbe
Jared Johnson
This article reviews contemporary strategies for single-layer endoscopic repair of anterior skull base cerebrospinal fluid leaks, which are important for small defects and when multiple layers using vascularized tissue options are not avail...
Perioperative Considerations and Complications of Skull Base Cerebrospinal Fluid Leaks [0.03%]
颅底脑脊液漏的围手术期考虑和并发症
W Jack Palmer,Sruti Tekumalla,Mindy Rabinowitz
W Jack Palmer
Successful and enduring repair of cerebrospinal fluid leaks requires careful consideration of multiple factors beyond the technical execution of the surgery. This begins with thorough preoperative risk assessment and optimization of medical...
Eustachian Tube Dysfunction [0.03%]
欧氏管功能不良
Dennis Poe,Muaaz Tarabichi,Holger Sudhoff et al.
Dennis Poe et al.
Jerlon Chiu,Paul Cowan,Muruggappan Ramanathan Jr
Jerlon Chiu
Recurrent cerebrospinal fluid leaks require precise diagnosis, identification of risk factors, and tailored surgical and medical management that is patient-centered. The strongest evidence supports robust vascularized repair, intracranial p...