Fleece-Bound Tissue Sealing in Microvascular Decompression

Tanrikulu L, Buchfelder M, Naraghi R (2017)


Publication Type: Journal article

Publication year: 2017

Journal

Book Volume: 27

Pages Range: 763-767

Journal Issue: 5

DOI: 10.5137/1019-5149.JTN.17462-16.2

Abstract

AIM: Cerebrospinal fluid (CSF) leakage is a feared complication after microvascular decompression (MVD). In this study, we present our experience of fleece-bound tissue sealing in MVD with an aim to minimize the rate of postoperative CSF leakage. MATERIAL AND METHODS: We treated 50 patients (female/male: 26/24) with neurovascular compression (NVC) syndromes (trigeminal neuralgia, hemifacial spasm and glossopharyngeal neuralgia) by MVD from 2003 to 2006. All patients underwent retromastoid craniectomy and duraplasty by fleece-bound tissue sealing using the so-called "sandwich technique" by a three-layer reconstruction and cranioplasty. RESULTS: In 49 (98%) of 50 patients, we did not observe postoperative CSF leakage. One patient (2%) suffered postoperative CSF leakage and required surgical revision. CONCLUSION: Fleece-bound tissue sealing by a three-layer reconstruction is effective and safe in the prevention of cerebrospinal fluid leakage in microvascular decompression.

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APA:

Tanrikulu, L., Buchfelder, M., & Naraghi, R. (2017). Fleece-Bound Tissue Sealing in Microvascular Decompression. Turkish Neurosurgery, 27(5), 763-767. https://doi.org/10.5137/1019-5149.JTN.17462-16.2

MLA:

Tanrikulu, Levent, Michael Buchfelder, and Ramin Naraghi. "Fleece-Bound Tissue Sealing in Microvascular Decompression." Turkish Neurosurgery 27.5 (2017): 763-767.

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