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Simple method to control a cerebrospinal fluid gusher during cochlear implant surgery
1Department of Otolaryngology-Head and Neck Surgery, Louisiana State University Health Sciences Center, New Orleans, USA. hwmarks20@msn.com
Summary
A simple technique using bone-waxed silk suture effectively controls perilymph/cerebrospinal fluid gushers during cochlear implant surgery. This safe and rapid method aids surgeons in managing these intraoperative leaks.
Area of Science:
- Neurosurgery
- Otolaryngology
Background:
- Perilymph/cerebrospinal fluid (CSF) gushers can occur during cochlear implant surgery at the cochleostomy site.
- Existing methods for controlling these leaks have yielded variable results.
Observation:
- Three cases of perilymph/CSF gushers were encountered during cochlear implant procedures.
- A straightforward technique utilizing bone-waxed silk suture was employed for leak control.
Findings:
- The bone-waxed silk suture technique provided effective control of perilymph/CSF gushers.
- This method was found to be safe and rapid in application.
Implications:
- This technique offers a valuable addition to the surgical strategies for cochlear implant procedures.
- It presents a reliable option for managing intraoperative cerebrospinal fluid leaks.