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Journal of Korean Neurosurgical Society 2004;36(4): 342-344.
Osteoplastic Transpetrosal Approach.
Jae Min Kim, Jin Hwan Cheong, Choong Hyun Kim, Seung Hwan Lee
1Department of Neurosurgery, College of Medicine, Hanyang University Guri Hospital, Guri, Korea. kjm2323@hanyang.ac.kr
2Department of Otolaryngology, College of Medicine, Hanyang University Guri Hospital, Guri, Korea.
ABSTRACT
The main two problems in the standard transpetrosal approach are a cosmetic deformity and the cerebrospinal fluid (CSF) leakage. However, until now a few technical innovations has been introduced to overcome these problems. Domestically, there is no reports concerning this technique. We introduce a simple and easy technique of cosmetic reconstruction with a split-thickness mastoid bone flap after transpetrosal approach in three tumorous conditions at cerebellopontine region. This simple technique provides a superior cosmetic result, a significant reduction in uncomfortable symptoms, and a possibility of the CSF leakage.
Key Words: Cosmetic result; Split-thickness bone flap; Cerebrospinal fluid leakage; Transpetrosal approach
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