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- Title
Management of postoperative CSF rhinorrhea after retrosigmoid craniotomy: how I do it.
- Authors
Ermolaev, Anton; Yashin, Konstantin; Dzhindzhikhadze, Revaz; Medyanik, Igor
- Abstract
Background: Cerebrospinal fluid (CSF) rhinorrhea as a complication of retrosigmoid craniotomy does not occur often today. This complication is primarily associated with the petrous bone drilling during surgery. Method: The management of this complication is shown by the example of the patient with a trigeminal schwannoma located in posterior cranial fossa operated through resrisigmoid craniotomy. Three steps of management and surgical stages of petrous bone plasty are shown. Conclusion: CSF rhinorrhea after retrosigmoid craniotomy is a preventable complication: petrous bone pneumatization should be evaluated preoperatively. If the air cells are open, primary plasty of the defect should be performed.
- Subjects
CRANIOTOMY; RHINORRHEA; POSTERIOR cranial fossa; POSTOPERATIVE care; CEREBROSPINAL fluid
- Publication
Acta Neurochirurgica, 2022, Vol 164, Issue 10, p2559
- ISSN
0001-6268
- Publication type
Case Study
- DOI
10.1007/s00701-022-05186-x