Document Detail


Acoustic neuroma management: a six-year review.
MedLine Citation:
PMID:  7674446     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this investigation is to review the outcome of 83 consecutive acoustic neuroma patients, managed solely or in part by the Department of Otolaryngology at University Hospital, London, Ontario, over a 6-year period (1987 to 1993). The majority of patients underwent operative intervention, utilizing the middle cranial fossa, suboccipital, or most commonly, the translabyrinthine approach depending on the tumour size and level of residual hearing. Demographic, preoperative, intraoperative, and postoperative data are analyzed including complications of surgery. As well, we report on our experience with the use of fibrin glue in the dural closure following translabyrinthine resections and the resultant impact on the postoperative CSF leak rate. Overall, our results and complications are comparable to other large acoustic neuroma series in the literature. In addition, we feel that further study is merited in the use of fibrin glue in dural repair and its relationship to postoperative cerebrospinal fluid fistula.
Authors:
G S Gillman; L S Parnes
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of otolaryngology     Volume:  24     ISSN:  0381-6605     ISO Abbreviation:  J Otolaryngol     Publication Date:  1995 Jun 
Date Detail:
Created Date:  1995-10-19     Completed Date:  1995-10-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7610513     Medline TA:  J Otolaryngol     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  191-7     Citation Subset:  IM    
Affiliation:
Department of Otolaryngology, University of Western Ontario Faculty of Medicine, London.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Cerebrospinal Fluid Rhinorrhea / prevention & control
Child
Female
Fibrin Tissue Adhesive
Follow-Up Studies
Headache / prevention & control
Humans
Male
Middle Aged
Neuroma, Acoustic / surgery*
Postoperative Complications / prevention & control
Preoperative Care
Retrospective Studies
Treatment Outcome
Chemical
Reg. No./Substance:
0/Fibrin Tissue Adhesive

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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