{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T08:10:47Z","timestamp":1789200647471,"version":"build-2803163510"},"reference-count":8,"publisher":"S. Karger AG","issue":"6","license":[{"start":{"date-parts":[[2009,1,1]],"date-time":"2009-01-01T00:00:00Z","timestamp":1230768000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2009,1,1]],"date-time":"2009-01-01T00:00:00Z","timestamp":1230768000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ORL"],"published-print":{"date-parts":[[2009]]},"abstract":"<jats:p>&lt;i&gt;Objective:&lt;\/i&gt; To detail our experience in the management of cerebrospinal fluid (CSF) leak following posterior cranial fossa surgery by the retrosigmoid approach. &lt;i&gt;Patients and Methods:&lt;\/i&gt; 412 patients who underwent posterior cranial fossa surgery by the retrosigmoid approach for a variety of diseases were included in the study. &lt;i&gt;Results:&lt;\/i&gt; There were 32 CSF leaks (7.7%) in the 412 patients. Of these, 16 were leaks from the incision site (50%) and 16 (50%) were CSF rhinorrheas. The CSF leaks were documented in 22 of the vestibular schwannoma surgeries (68.7%) and 10 of the vestibular nerve sectioning surgeries (31.3%). No CSF leak was seen following microvascular decompression and auditory brain stem implantation surgeries. Ten patients could be treated conservatively. Twelve patients needed the placement of a lumbar drainage. Surgical reexploration was performed in 10 patients. &lt;i&gt;Conclusions:&lt;\/i&gt; Initially, a conservative treatment should be instituted in the case of a CSF leak. If the conservative treatment fails, the placement of a lumbar drainage should be considered. Patients that do not respond to lumbar drainage require surgical reexploration. The abovementioned algorithm represents the safest and best option in the presence of a CSF leak, as confirmed by the absence of recurrences or multiple revisions in this study.<\/jats:p>","DOI":"10.1159\/000272030","type":"journal-article","created":{"date-parts":[[2009,12,30]],"date-time":"2009-12-30T15:24:32Z","timestamp":1262186672000},"page":"329-333","source":"Crossref","is-referenced-by-count":31,"title":["Management of Cerebrospinal Fluid Leak following Retrosigmoid Posterior Cranial Fossa Surgery"],"prefix":"10.1159","volume":"71","author":[{"given":"Y\u0131ld\u0131r\u0131m A.","family":"Bayazit","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatih","family":"Celenk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet","family":"Duzlu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nebil","family":"Goksu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2009,12,31]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1055%2Fs-2001-14428"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1288%2F00005537-199401000-00009"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1097%2F00129492-200405000-00030"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1288%2F00005537-198610000-00008"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.3109%2F00016488809124993"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1288%2F00005537-199309000-00003"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1097%2F00005537-199608000-00017"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1097%2F00006123-199202000-00015"}],"container-title":["ORL"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/272030","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/272030","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T20:39:37Z","timestamp":1745440777000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000272030"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009]]},"references-count":8,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2010,3,1]]}},"URL":"https:\/\/doi.org\/10.1159\/000272030","archive":["Portico"],"relation":{},"ISSN":["0301-1569","1423-0275"],"issn-type":[{"value":"0301-1569","type":"print"},{"value":"1423-0275","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009]]}}}