Surgical management of cerebrospinal fluid otorrhea
by Vicky S Khattar, Vicky Bachi T

Jaypee’s Video Atlas of Operative Otorhinolaryngology AND Head & Neck Surgery

by Vicky S Khattar, Bachi T Hathiram
About Video

This video demonstrates the technique to treat a case of post-traumatic cerebrospinal fluid otorrhea with concomitant facial nerve paralysis. After decompressing the nerve, the meningocele is reduced and the defect in the tegmen plate is sealed with a multi-layered closure. One can use fascia or any other compatible material as an inlay, followed by an overlay graft. This repair can then be reinforced with an anteriorly based pedicled flap of partial thickness temporalis muscle, in the case of large defects. In cases of coexistent facial nerve injury, one should be careful not to cause any pressure onto the decompressed facial nerve.

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