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Published on: February 29, 2020
Surgical Management of Temporal Cerebrospinal Fluid Leaks From the Middle Cranial Fossa
Evan C Cumpston1, Hunter L Elms2, Douglas J Totten2
1Department of Otolaryngology-Head & Neck Surgery, Indiana University, Indianapolis, IN, USA; Indiana University School of Medicine, Indianapolis, IN, USA.
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This article reviews surgical management strategies for temporal bone cerebrospinal fluid leaks arising from the middle cranial fossa. It emphasizes preoperative workup and imaging, surgical techniques-including middle cranial fossa, transmastoid, and combined approaches, as well as subtotal petrosectomy. This article also provides guidance on patient selection, intraoperative management, and postoperative care.

