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  • Title
  • 1. Introduction
  • 2. Incision and Exposure
  • 3. Middle Fossa Craniotomy
  • 4. Dura Elevation
  • 5. Repair of Tegmen Defect
  • 6. Craniotomy Repair
  • 7. Closure
  • 8. Repair of Tympanic Membrane Perforation

Middle Fossa Approach to Repair Cerebrospinal Fluid Leak

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Calhoun D. Cunningham III, MD1; Benjamin Park2; C. Scott Brown MD1
1Duke University Medical Center
2Vanderbilt University School of Medicine

OtolaryngologyNeurosurgery

Procedure Outline

Table of Contents

  1. 1. Introduction
    1. 2. Incision and Exposure
      1. 3. Middle Fossa Craniotomy
        1. 4. Dura Elevation
          1. 5. Repair of Tegmen Defect
            1. 6. Craniotomy Repair
              1. 7. Closure
                1. 8. Repair of Tympanic Membrane Perforation

                  1. Introduction

                  2. Incision and Exposure

                  1. Temporalis Fascia Graft Harvest
                  2. Exposure of Temporal Bone

                  3. Middle Fossa Craniotomy

                  4. Dura Elevation

                  1. Identification and Exposure of Tegmen Defect

                  5. Repair of Tegmen Defect

                  1. Measure Defect
                  2. Harvest Bone Graft
                  3. Shaping Bone Graft
                  4. Prepare the Fascia Graft
                  5. Insetting the Grafts
                  6. DuraGen Placement

                  6. Craniotomy Repair

                  7. Closure

                  1. Muscle Closure
                  2. Craniotomy Repair

                  8. Repair of Tympanic Membrane Perforation

                  1. Removal of Pressure-Equalization Tube
                  2. Paper Patch

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                  Authors

                  Filmed At:

                  Duke University Medical Center

                  Article Information

                  Publication Date
                  Article ID186
                  Production ID0186
                  Volume2024
                  Issue186
                  DOI
                  https://doi.org/10.24296/jomi/186