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Autologous Mastoid Cortex Bone Graft for Multilayer Repair of Lateral Skull Base Defects
Christopher Z Wen1, Daniel C Fong2, Vera Bzhilyanskaya2
1Department of Otorhinolaryngology-Head and Neck Surgery, University of Maryland School of Medicine, Baltimore, Maryland, USA.
The Laryngoscope
|June 10, 2026
Summary
Reinforcing multilayer repairs for skull base cerebrospinal fluid leaks with autologous bone grafts is effective. Harvesting a monocortical mastoid cortex graft is simple and does not increase patient morbidity.
Area of Science:
- Neurosurgery
- Otolaryngology
- Skull Base Surgery
Background:
- Cerebrospinal fluid (CSF) leaks and encephaloceles in the lateral skull base pose significant surgical challenges.
- Multilayer repair techniques are commonly employed but may require reinforcement for optimal outcomes.

