Complications of the Middle Cranial Fossa Approach for Acoustic Neuroma Removal.
نویسندگان
چکیده
OBJECTIVE To analyze postoperative complications after microsurgery for acoustic neuroma (AN) via the middle fossa approach (MFA). MATERIALS AND METHODS In total, 203 consecutive patients of a tertiary skull base referral center at a university hospital were included in this retrospective chart and database analysis. All patients had undergone primary microsurgery at the Otorhinolaryngology department via MFA between December 2005 and October 2014. Postoperative complications were documented during the inpatient stay and outpatient follow-up. RESULTS Overall, 41 complications were registered in 35 patients. The most common was cerebrospinal fluid (CSF) leakage in 13% of the patients. Bleeding complications were documented in seven patients: two cerebellar bleedings, one subdural and one epidural hematoma, two hematomas of the skin, and one bleeding through the closed wound. Two patients experienced meningitis and one patient had a transient ischemic attack. Furthermore, three cases of deep vein thrombosis occurred, which led to a lethal pulmonary embolism in one case. One patient sustained temporary palsy of the vocal fold and another reported antibiotic-associated diarrhea. CONCLUSION Acoustic neuroma surgery via the MFA can be conducted with low morbidity and mortality. The most common complication is CSF leakage, which can be treated in most cases in a stepwise conservative manner. Severe adverse events that may require revision surgery are very scarce (1%).
منابع مشابه
Middle fossa approach for removal of acoustic neuroma: case reports and literature review
There are 3 approaches for the surgical treatment of acoustic neuroma namely: 1) translabyrinthine approach 2) retrosigmoid approach, and 3) middle fossa approach. The middle fossa approach was used for the removal of small or intracanalicular tumors, with or without serviceable hearing. The first case presented with severe right sensorineural hearing loss and facial palsy; the second with prog...
متن کاملGadolinium-enhanced MR of the postoperative internal auditory canal following acoustic neuroma resection via the middle fossa approach.
PURPOSE To evaluate the ability of gadolinium-enhanced MR in detecting recurrent tumor in patients whose acoustic neuromas were surgically removed via the middle cranial fossa approach. PATIENTS AND METHODS Postoperative gadolinium-enhanced exams of 13 of 44 patients who underwent excision of acoustic neuromas via the middle cranial fossa approach were reviewed. RESULTS Postoperative enhanc...
متن کاملAcoustic Tumor Surgery and Tinnitus.
A total of 311 patients with a unilateral acoustic neurinoma were operated on via the enlarged middle cranial fossa approach. A total tumor removal was achieved in 98% of cases. The mortality was 0.6%. Overall in acoustic neurinoma surgery, the percentage rates of meningitis (1.6%), cerebrospinal fluid fistula (1.6% requiring surgery), and neurological deficits were fairly low. The facial nerve...
متن کامل[Preservation of hearing in surgery of acoustic neuroma].
Between 1981 and 1984, 44 patients underwent acoustic neuroma removal by a posterior cranial fossa approach in an attempt to preserve hearing. 7 tumors were small (less than 20 mm), 28 were medium (20 to 40 mm) and 9 large (greater than 40 mm). Of these 44 patients, 4 had normal hearing preoperatively, 15 had serviceable hearing, 10 poor hearing and 15 no hearing. Postoperative hearing was pres...
متن کاملReconstruction of cranial base defects using the Medpor Titan implant: cranioplasty applications in acoustic neuroma surgery.
INTRODUCTION Reconstruction of cranial defects is an essential component of skull base surgery as it aids in restoring functionality, providing coverage of intradural structures, and achieving optimal cosmesis. In acoustic neuroma surgery, tumor removal and subsequent reconstruction of the skull base defect are equally important elements. All three approaches utilized in acoustic neuroma surger...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- The journal of international advanced otology
دوره 13 2 شماره
صفحات -
تاریخ انتشار 2017