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Acoustic neuroma management: a six-year review
1Department of Otolaryngology, University of Western Ontario Faculty of Medicine, London.
The Journal of Otolaryngology
|June 1, 1995
Summary
This study reviews 83 acoustic neuroma surgeries, analyzing outcomes and complications. Fibrin glue use in dural repair shows promise for reducing cerebrospinal fluid leaks after translabyrinthine resection.
Area of Science:
- Neurosurgery
- Otolaryngology
- Neurology
Background:
- Acoustic neuromas require complex surgical management.
- Surgical approaches vary based on tumor size and patient hearing.
- Cerebrospinal fluid (CSF) leaks are a known complication.
Purpose of the Study:
- To review outcomes of 83 acoustic neuroma patients.
- To analyze surgical complications and the impact of fibrin glue.
- To evaluate the efficacy of fibrin glue in reducing CSF leaks.
Main Methods:
- Retrospective analysis of 83 consecutive acoustic neuroma cases (1987-1993).
- Surgical interventions included middle cranial fossa, suboccipital, and translabyrinthine approaches.
- Data collected on demographics, surgical procedures, and postoperative complications, including CSF leaks.
Main Results:
- Surgical outcomes and complication rates are comparable to existing literature.
- Fibrin glue was used for dural closure in translabyrinthine resections.
- Preliminary data suggests fibrin glue may reduce postoperative CSF leak rates.
Conclusions:
- Surgical management of acoustic neuromas yields results consistent with other series.
- Fibrin glue shows potential as an adjunct for dural closure to minimize CSF fistulas.
- Further research is warranted to confirm the benefits of fibrin glue in preventing CSF leaks.