Delayed extrusion of hydroxyapatite after transpetrosal reconstruction.
Publication/Presentation Date
10-1-2006
Abstract
OBJECTIVES: : To review the long-term results of hydroxyapatite closure of transpetrosal defects.
STUDY DESIGN: : Retrospective chart review.
METHODS: : One hundred seventy-seven patients were followed for more than 5 years. After surgical management by way of transpetrosal routes, hydroxyapatite was placed after medial wound closure with abdominal fat and before a three-layered lateral soft tissue closure.
RESULTS: : Among this group of patients, three (1.7%) cerebrospinal fluid (CSF) leaks were encountered. None of these required re-operation. Delayed extrusion of hydroxyapatite with concomitant superficial wound infections have occurred in seven (4%) patients. All required operative re-intervention.
CONCLUSIONS: : Hydroxyapatite has proven to be an effective material in the closure of skull base defects. Nevertheless, delayed extrusion of this agent can occur, resulting in the potential for morbidity and the need for operative re-intervention.
Volume
116
Issue
10
First Page
1817
Last Page
1819
ISSN
0023-852X
Published In/Presented At
Krishnamoorthy, K., Pensa, M. L., & Samy, R. N. (2006). Delayed extrusion of hydroxyapatite after transpetrosal reconstruction. The Laryngoscope, 116(10), 1817–1819. https://doi.org/10.1097/01.mlg.0000232536.41126.46
Disciplines
Medicine and Health Sciences
PubMedID
17003723
Department(s)
Department of Surgery, Division of Otolaryngology
Document Type
Article