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.
Original language | English (US) |
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Pages (from-to) | 191-194 |
Number of pages | 4 |
Journal | Journal of International Advanced Otology |
Volume | 13 |
Issue number | 2 |
DOIs | |
State | Published - 2017 |
Externally published | Yes |
Keywords
- Acoustic neuroma
- CSF fistula
- Eustachian tube
- Rhinoliquorrhea
- Schwannoma
- Vestibular
ASJC Scopus subject areas
- Otorhinolaryngology