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"Gasket-seal" watertight closure in minimal-access endoscopic cranial base surgery.

"Gasket-seal" watertight closure in minimal-access endoscopic cranial base surgery. Research Abstract Details 

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  • "Gasket-seal" watertight closure in minimal-access endoscopic cranial base surgery. Abstract Text:

    OBJECTIVE: Transnasal endoscopic cranial base surgery is a novel minimal-access method for reaching the midline cranial base. Postoperative cerebrospinal fluid leak remains a persistent challenge. A new method for watertight closure of the anterior cranial base is presented. METHODS: To achieve watertight closure of the anterior cranial base, autologous fascia lata was used to create a "gasket seal" around a bone buttress, followed by application of a tissue sealant such as DuraSeal (Confluent Surgical, Inc., Waltham, MA). The gasket-seal closure was used to seal the anterior cranial base in a series of 10 patients with intradural surgery for suprasellar craniopharyngiomas (n = 5), planum meningiomas (n = 3), clival chordoma (n = 1), and recurrent iatrogenic cerebrospinal fluid leak (n = 1). Lumbar drains were placed intraoperatively in five patients and remained in place for 3 days postoperatively. RESULTS: After a mean follow-up period of 12 months, there were no cerebrospinal fluid leaks. CONCLUSION: The gasket-seal closure is an effective method for achieving watertight closure of the anterior cranial base after endoscopic intradural surgery.

    "Gasket-seal" watertight closure in minimal-access endoscopic cranial base surgery. Publishing Authors By Initials

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    "Gasket-seal" watertight closure in minimal-access endoscopic cranial base surgery. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Neurosurgery

    VOLUME: 62

    Page Numbers: ONSE342-3; discussion ONSE343

    Journal Abbreviation: Neurosurgery

    ISSN: 1524-4040

    DAY: 3

    MONTH: May

    YEAR: 2008

    "Gasket-seal" watertight closure in minimal-access endoscopic cranial base surgery. Information

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    LANGUAGE: eng

    NlmUniqueID: 7802914

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    Grant and Affiliation Information for "Gasket-seal" watertight closure in minimal-access endoscopic cranial base surgery.

    AFFILIATION: Department of Neurosurgery, Weill Cornell Medical College, New York Presbyterian Hospital, New York, New York, USA.

    Country: United States

    United States Research PublicationUnited States Research Publication

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    MEDLINETA: Neurosurgery

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