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Eustachian Tube Obliteration and its Effect on Rhinoliquorrhea in Translabyrinthine Vestibular Schwannoma Excision
- Source :
- The Journal of International Advanced Otology. 13:191-194
- Publication Year :
- 2017
- Publisher :
- AVES Publishing Co., 2017.
-
Abstract
- Objective Rhinoliquorrhea is defined as a cerebrospinal fluid leakage from the nose. Our objective in this study is to determine the reduction of rhinoliquorrhea rates by Eustachian tube (ET) obliteration in the context of a translabyrinthine approach performed following vestibular schwannoma (VS) excision. Materials and methods This is a prospective study achieved in a tertiary-care center where the chart review revealed 94 VS operated by the translabyrinthine approach between 2009 and 2015. There were 40 males and 54 females aged from 28-76 years. The only exclusion criterion was a previous history of cranial surgery. ET obliteration was systematically executed when the petrous apex pneumatization level was at least 2 of 4. Our main outcome measure was the development of rhinoliquorrhea. Results Eighty-eight patients underwent ET obliteration and were followed for an average of 2.6±1.2 years. Rhinoliquorrhea was reported in 1.14% of the patients having had an ET obliteration. When compared to our previous sample of patients operated with a translabyrinthine approach, it represents a reduction of 84%. Conclusion Obliteration of the ET is a fast and simple procedure that reduces the rate of rhinoliquorrhea. We therefore recommend its use, specifically in cases of petrous apex pneumatization levels 2-4.
- Subjects :
- Adult
Male
Microsurgery
medicine.medical_specialty
Eustachian tube
medicine.medical_treatment
Context (language use)
Schwannoma
Postoperative Complications
medicine
Humans
Prospective Studies
Nose
Aged
Cerebrospinal Fluid Leak
Cerebrospinal fluid leak
Translabyrinthine approach
Petrous Apex
business.industry
Eustachian Tube
Neuroma, Acoustic
General Medicine
Middle Aged
medicine.disease
Surgery
medicine.anatomical_structure
Otorhinolaryngology
Ear, Inner
Female
business
Follow-Up Studies
Subjects
Details
- ISSN :
- 21483817 and 13087649
- Volume :
- 13
- Database :
- OpenAIRE
- Journal :
- The Journal of International Advanced Otology
- Accession number :
- edsair.doi.dedup.....b9ee9db60fa12d4597dcc66b732806f6