A Modification to the Fascia-Bone-Fascia Technique for Repair of the Middle Fossa Floor

Abstract A commonly used method for resurfacing of the middle fossa floor is the fascia-bone-fascia technique. One disadvantage of this technique however is the occasional migration of the bone graft. To prevent this, we have modified the technique to include securing of the graft using simple craniotomy fixation materials. We have now used this method in five patients, all of whom have had satisfactory clinical outcomes. Follow-up imaging has demonstrated the grafts to have remained in their original position.

[1]  M. Crovetto,et al.  Transmastoid approach for resurfacing of Superior Semicircular Canal dehiscence. , 2008, Auris, nasus, larynx.

[2]  D. Friedland,et al.  Cranial Thickness in Superior Canal Dehiscence Syndrome: Implications for Canal Resurfacing Surgery , 2006, Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology.

[3]  R. Irving,et al.  Middle cranial fossa approach for the repair of spontaneous cerebrospinal fluid otorrhoea using autologous bone pate. , 2001, Clinical otolaryngology and allied sciences.

[4]  S. Baredes,et al.  Spontaneous Cerebrospinal Fluid Leakage and Middle Ear Encephalocele in Seven Patients , 2000, Ear, nose, & throat journal.

[5]  J. Kartush,et al.  Temporal bone encephalocele and cerebrospinal fluid leaks. , 1996, The American journal of otology.

[6]  G. Brookes,et al.  Tegmental dehiscence and brain herniation into the middle ear cleft , 1991, The Journal of Laryngology & Otology.

[7]  M. Graham Surgical management of dural and temporal lobe herniation into the radical mastoid cavity , 1982, The Laryngoscope.