{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:38:47Z","timestamp":1740166727498,"version":"3.37.3"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg B Skull Base"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003The middle fossa craniotomy (MFCs) is commonly utilized for spontaneous cerebrospinal fluid (CSF) leaks, encephaloceles, and superior semicircular canal dehiscence (SSCD). This study compares postoperative outcomes of MFCs with and without LD use.<\/jats:p><jats:p>\n          Methods\u2003A retrospective cohort study of adults over the age of 18 years presenting for the repair of nonneoplastic CSF leak, encephalocele, or SSCD via MFC from 2009 to 2021 was conducted. The main exposure of interest was the placement of an LD. The primary outcome was the presence of postoperative complications (acute\/delayed neurologic deficit, meningitis, intracranial hemorrhage, and stroke). Secondary outcomes included operating room (OR) time, length of stay, recurrence, and need for reoperation.<\/jats:p><jats:p>\n          Results\u2003In total, 172 patients were included, 96 of whom received an LD and 76 who did not. Patients not receiving an LD were more likely to receive intraoperative mannitol (n\u2009=\u200924, 31.6% vs. n\u2009=\u200916, 16.7%, p\u2009=\u20090.02). On univariate logistic regression, LD placement did not influence overall postoperative complications (OR: 0.38, 95% confidence interval [CI]: 0.05\u20132.02, p\u2009=\u20090.28), CSF leak recurrence (OR: 0.75, 95% CI: 0.25\u20132.29, p\u2009=\u20090.61), or need for reoperation (OR: 1.47, 95% CI: 0.48\u20134.96, p\u2009=\u20090.51). While OR time was shorter for patients not receiving LD (349\u2009\u00b1\u200971 vs. 372\u2009\u00b1\u200985\u2009minutes), this difference was not statistically significant (p\u2009=\u20090.07).<\/jats:p><jats:p>\n          Conclusion\u2003No difference in postoperative outcomes was observed in patients who had an intraoperative LD placed compared to those without LD. Operative times were increased in the LD cohort, but this difference was not statistically significant. Given the similar outcomes, we conclude that LD is not necessary to facilitate safe MCF for nonneoplastic skull base pathologies.<\/jats:p>","DOI":"10.1055\/a-2065-9178","type":"journal-article","created":{"date-parts":[[2023,3,30]],"date-time":"2023-03-30T23:14:43Z","timestamp":1680218083000},"page":"295-301","source":"Crossref","is-referenced-by-count":0,"title":["Lumbar Drain Use during Middle Fossa Approaches for Nonneoplastic Pathology of the Skull Base"],"prefix":"10.1055","volume":"85","author":[{"given":"Robert J.","family":"Dambrino","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6154-2714","authenticated-orcid":false,"given":"Gunther W.","family":"Wong","sequence":"additional","affiliation":[{"name":"Vanderbilt University School of Medicine, Nashville, Tennessee, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan R.","family":"Tang","sequence":"additional","affiliation":[{"name":"Vanderbilt University School of Medicine, Nashville, Tennessee, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacob","family":"Jo","sequence":"additional","affiliation":[{"name":"Vanderbilt University School of Medicine, Nashville, Tennessee, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aaron M.","family":"Yengo-Kahn","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nathan R.","family":"Lindquist","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, Tennessee, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael H.","family":"Freeman","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, Tennessee, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David S.","family":"Haynes","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, Tennessee, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kareem O.","family":"Tawfik","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, Tennessee, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lola B.","family":"Chambless","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reid C.","family":"Thompson","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, United States"},{"name":"Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, Tennessee, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter J.","family":"Morone","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,4,21]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1055\/s-0039-1688793","article-title":"Middle cranial fossa encephalocele and cerebrospinal fluid leakage: etiology, approach, outcomes","volume":"81","author":"B McNulty","year":"2020","journal-title":"J Neurol Surg B Skull Base"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"1314","DOI":"10.3171\/2013.6.JNS13322","article-title":"Temporal bone encephalocele and cerebrospinal fluid fistula repair utilizing the middle cranial fossa or combined mastoid-middle cranial fossa approach","volume":"119","author":"M L Carlson","year":"2013","journal-title":"J Neurosurg"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"e229","DOI":"10.1016\/j.wneu.2021.09.038","article-title":"Superior semicircular canal dehiscence outcomes in a consecutive series of 229 surgical repairs with middle cranial fossa craniotomy","volume":"156","author":"K Mozaffari","year":"2021","journal-title":"World Neurosurg"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1288\/00005537-199502000-00023","article-title":"Reducing temporal lobe retraction with the middle fossa approach using a lumbar drain","volume":"105","author":"F F Telischi","year":"1995","journal-title":"Laryngoscope"},{"issue":"10","key":"ref5","doi-asserted-by":"crossref","first-page":"1625","DOI":"10.1097\/MAO.0000000000001208","article-title":"Middle cranial fossa (MCF) approach without the use of lumbar drain for the management of spontaneous cerebral spinal fluid (CSF) leaks","volume":"37","author":"R F Nelson","year":"2016","journal-title":"Otol Neurotol"},{"issue":"02","key":"ref6","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1055\/s-2007-970562","article-title":"Utilization of preoperative cerebrospinal fluid drain in skull base surgery","volume":"17","author":"A G Bien","year":"2007","journal-title":"Skull Base"},{"issue":"06","key":"ref7","doi-asserted-by":"crossref","first-page":"759","DOI":"10.1093\/bja\/aew096","article-title":"Definition, evaluation, and management of brain relaxation during craniotomy","volume":"116","author":"J Li","year":"2016","journal-title":"Br J Anaesth"},{"issue":"08","key":"ref8","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1179\/016164103771953925","article-title":"Brain retraction injury","volume":"25","author":"J Zhong","year":"2003","journal-title":"Neurol Res"},{"issue":"05","key":"ref9","doi-asserted-by":"crossref","first-page":"1513","DOI":"10.1016\/j.jvs.2020.08.150","article-title":"Complications associated with lumbar drain placement for endovascular aortic repair","volume":"73","author":"A Plotkin","year":"2021","journal-title":"J Vasc Surg"},{"issue":"02","key":"ref10","first-page":"388","article-title":"Neurologic complications after placement of cerebrospinal fluid drainage catheters and needles in anesthetized patients: implications for regional anesthesia","volume":"88","author":"R E Grady","year":"1999","journal-title":"Anesth Analg"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1186\/s40064-016-1875-4","article-title":"Brain stem herniation secondary to cerebrospinal fluid drainage in ruptured aneurysm surgery: a case report","volume":"5","author":"Y S Kim","year":"2016","journal-title":"Springerplus"},{"issue":"07","key":"ref12","doi-asserted-by":"crossref","first-page":"992","DOI":"10.1136\/jnnp.74.7.992","article-title":"Brain stem and cerebellar dysfunction after lumbar spinal fluid drainage: case report","volume":"74","author":"J Bloch","year":"2003","journal-title":"J Neurol Neurosurg Psychiatry"},{"issue":"02","key":"ref13","doi-asserted-by":"crossref","first-page":"E77","DOI":"10.1093\/ons\/opaa262","article-title":"Risk of brain herniation after craniotomy with preoperative lumbar spinal drainage: a single-surgeon experience of 365 patients among 3000 major cranial cases","volume":"20","author":"B C Lane","year":"2021","journal-title":"Oper Neurosurg (Hagerstown)"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1016\/j.jocn.2022.02.006","article-title":"The effects of cerebrospinal fluid (CSF) diversion on post-operative CSF leak following extended endoscopic anterior skull base surgery","volume":"98","author":"C W Huo","year":"2022","journal-title":"J Clin Neurosci"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1016\/j.jbi.2014.02.003","article-title":"Secondary use of clinical data: the Vanderbilt approach","volume":"52","author":"I Danciu","year":"2014","journal-title":"J Biomed Inform"},{"issue":"02","key":"ref16","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap)---a metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"P A Harris","year":"2009","journal-title":"J Biomed Inform"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"103208","DOI":"10.1016\/j.jbi.2019.103208","article-title":"The REDCap consortium: Building an international community of software platform partners","volume":"95","author":"P A Harris","year":"2019","journal-title":"J Biomed Inform"},{"issue":"01","key":"ref18","first-page":"1","article-title":"Does lumbar drainage reduce postoperative cerebrospinal fluid leak after endoscopic endonasal skull base surgery? A prospective, randomized controlled trial","volume":"10","author":"N T Zwagerman","year":"2018","journal-title":"J Neurosurg"},{"issue":"01","key":"ref19","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1177\/0003489415597917","article-title":"Preoperative lumbar drain use during acoustic neuroma surgery and effect on CSF leak incidence","volume":"125","author":"M G Crowson","year":"2016","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"e575","DOI":"10.1016\/j.wneu.2018.06.090","article-title":"The role of the lumbar drain in endoscopic endonasal skull base surgery: a retrospective analysis of 811 cases","volume":"117","author":"C Caggiano","year":"2018","journal-title":"World Neurosurg"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1016\/j.ijporl.2016.12.019","article-title":"Risk factors for cerebrospinal fluid leak in pediatric patients undergoing endoscopic endonasal skull base surgery","volume":"93","author":"A L Stapleton","year":"2017","journal-title":"Int J Pediatr Otorhinolaryngol"},{"issue":"11","key":"ref22","doi-asserted-by":"crossref","first-page":"2633","DOI":"10.1002\/lary.24177","article-title":"Abducens palsy after lumbar drain placement: a rare complication in endoscopic skull base surgery","volume":"123","author":"R B Cain","year":"2013","journal-title":"Laryngoscope"},{"issue":"12","key":"ref23","doi-asserted-by":"crossref","first-page":"2702","DOI":"10.1002\/lary.27266","article-title":"Continuous lumbar drainage and the postoperative complication rate of open anterior skull base surgery","volume":"128","author":"B Ringel","year":"2018","journal-title":"Laryngoscope"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"e683","DOI":"10.1016\/j.wneu.2019.09.114","article-title":"Minimally invasive repair of tegmen defects through keyhole middle fossa approach to reduce hospitalization","volume":"133","author":"A K Wong","year":"2020","journal-title":"World Neurosurg"},{"issue":"01","key":"ref25","doi-asserted-by":"crossref","first-page":"102794","DOI":"10.1016\/j.amjoto.2020.102794","article-title":"Outcomes after mini-craniotomy middle fossa approach combined with mastoidectomy for lateral skull base defects","volume":"42","author":"A Walia","year":"2021","journal-title":"Am J Otolaryngol"}],"container-title":["Journal of Neurological Surgery Part B: Skull Base"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2065-9178.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T10:35:56Z","timestamp":1730802956000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2065-9178"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,30]]},"references-count":25,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2024,5,7]]},"published-print":{"date-parts":[[2024,6]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2065-9178","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2193-6331","2193-634X"],"issn-type":[{"type":"print","value":"2193-6331"},{"type":"electronic","value":"2193-634X"}],"subject":[],"published-other":{"date-parts":[[2023,3,30]]},"published":{"date-parts":[[2023,3,30]]}}}