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J Neurol Surg B Skull Base 2012; 73(02): 145-146
DOI: 10.1055/s-0032-1301393
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

A Modification to the Fascia-Bone-Fascia Technique for Repair of the Middle Fossa Floor

William R. Copeland
1   Department of Neurological Surgery, Mayo Clinic, Rochester, Minnesota
,
Colin L.W. Driscoll
1   Department of Neurological Surgery, Mayo Clinic, Rochester, Minnesota
2   Department of Otolaryngology, Mayo Clinic, Rochester, Minnesota
,
Michael J. Link
1   Department of Neurological Surgery, Mayo Clinic, Rochester, Minnesota
2   Department of Otolaryngology, Mayo Clinic, Rochester, Minnesota
› Author Affiliations
Further Information

Publication History

03 June 2011

18 November 2011

Publication Date:
06 February 2012 (online)

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Abstract

A commonly used method for resurfacing of the middle fossa floor is the fascia-bone-fascia technique. One disadvantage of this technique however is the occasional migration of the bone graft. To prevent this, we have modified the technique to include securing of the graft using simple craniotomy fixation materials. We have now used this method in five patients, all of whom have had satisfactory clinical outcomes. Follow-up imaging has demonstrated the grafts to have remained in their original position.

Keywords

spontaneous cerebrospinal fluid otorrhea - meningoencephalocele - superior semicircular canal dehiscence - middle fossa repair
 

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