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Video preload image for Middle Fossa Approach to Repair Cerebrospinal Fluid Leak
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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

Procedure Outline

  1. Temporalis Fascia Graft Harvest
  2. Exposure of Temporal Bone
  1. Identification and Exposure 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
  1. Muscle Closure
  2. Craniotomy Repair
  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