{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T09:06:25Z","timestamp":1780131985408,"version":"3.54.0"},"reference-count":62,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["FOC"],"published-print":{"date-parts":[[2012,9]]},"abstract":"<jats:p>Reconstruction of presigmoid dural defects after resection of acoustic neuromas via the translabyrinthine approach is paramount to prevent postoperative CSF leakage. However, primary dural reapproximation and achieving a watertight closure of the dural defect in this anatomical region are quite difficult. Standard closure techniques after the translabyrinthine approach often involve packing an abdominal fat graft that plugs the dural defect and mastoidectomy cavity. This technique, however, may pose the risk of direct compression of the fat graft on the facial nerve and brainstem. Nonetheless, even with the evolution in dural repair techniques, postoperative CSF leaks can still occur and provide a route for infection and meningitis. In this report, the authors describe a novel dural \u201csling\u201d reconstruction technique using autologous fascia lata to repair presigmoid dural defects created after translabyrinthine resection of acoustic neuromas. The fascia lata is sewn to the edges of the presigmoid dural defect to create a sling to suspend the fat graft within the mastoidectomy defect. A titanium mesh plate embedded in porous polyethylene is secured over the mastoidectomy defect to apply pressure to the fat graft. In the authors' experience, this has been a successful technique for dural reconstruction after translabyrinthine removal of acoustic neuromas to prevent postoperative CSF leakage. There were no cases of CSF leakage in the first 8 patients treated using this technique. The operative details and preliminary results of this technique are presented.<\/jats:p>","DOI":"10.3171\/2012.6.focus12168","type":"journal-article","created":{"date-parts":[[2012,9,1]],"date-time":"2012-09-01T12:14:35Z","timestamp":1346501675000},"page":"E17","source":"Crossref","is-referenced-by-count":10,"title":["Fascial sling technique for dural reconstruction after translabyrinthine resection of acoustic neuroma: technical note"],"prefix":"10.3171","volume":"33","author":[{"given":"James K.","family":"Liu","sequence":"first","affiliation":[{"name":"Departments of Neurological Surgery and"},{"name":"Otolaryngology\u2013Head and Neck Surgery, and"},{"name":"Center for Skull Base and Pituitary Surgery, Neurological Institute of New Jersey, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Smruti K.","family":"Patel","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda J.","family":"Podolski","sequence":"additional","affiliation":[{"name":"Departments of Neurological Surgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert W.","family":"Jyung","sequence":"additional","affiliation":[{"name":"Otolaryngology\u2013Head and Neck Surgery, and"},{"name":"Center for Skull Base and Pituitary Surgery, Neurological Institute of New Jersey, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-0330017","series-title":"Otol Neurotol","first-page":"538","article-title":"Hydroxyapatite cement cranioplasty in translabyrinthine acoustic neuroma surgery-update","volume":"28","author":"Arriaga","year":"2007"},{"key":"b2-0330017","series-title":"Skull Base","first-page":"157","article-title":"A novel method of translabyrinthine cranioplasty using hydroxyapatite cement and titanium mesh: a technical report","volume":"20","author":"Bambakidis","year":"2010"},{"key":"b3-0330017","series-title":"Otol Neurotol","first-page":"107","article-title":"Cerebrospinal fluid leak after acoustic neuroma surgery: a comparison of the translabyrinthine, middle fossa, and retrosigmoid approaches","volume":"24","author":"Becker","year":"2003"},{"key":"b4-0330017","series-title":"Neurosurg Clin N Am","first-page":"251","article-title":"Translabyrinthine approach for acoustic tumor removal. 1992","volume":"19","author":"Brackmann","year":"2008"},{"key":"b5-0330017","series-title":"J Neurosurg","first-page":"217","article-title":"Cerebrospinal fluid leak after acoustic neuroma surgery: influence of tumor size and surgical approach on incidence and response to treatment","volume":"94","author":"Brennan","year":"2001"},{"key":"b6-0330017","series-title":"Otolaryngol Head Neck Surg","first-page":"654","article-title":"Cerebrospinal fluid leak after translabyrinthine acoustic neuroma surgery","volume":"112","author":"Celikkanat","year":"1995"},{"key":"b7-0330017","series-title":"Am J Otol","first-page":"660","article-title":"No cerebrospinal fluid leaks in translabyrinthine vestibular schwannoma removal: reappraisal of 200 consecutive patients","volume":"20","author":"Falcioni","year":"1999"},{"key":"b8-0330017","series-title":"Otol Neurotol","first-page":"387","article-title":"Prevention and treatment of cerebrospinal fluid leak after translabyrinthine acoustic tumor removal","volume":"28","author":"Fayad","year":"2007"},{"key":"b9-0330017","series-title":"Laryngoscope","first-page":"1002","article-title":"Cerebrospinal fluid drainage in the management of CSF leak following acoustic neuroma surgery","volume":"106","author":"Fishman","year":"1996"},{"key":"b10-0330017","series-title":"Laryngoscope","first-page":"501","article-title":"Prevention and management of cerebrospinal fluid leak following vestibular schwannoma surgery","volume":"114","author":"Fishman","year":"2004"},{"key":"b11-0330017","series-title":"Otol Neurotol","first-page":"473","article-title":"Prevention of cerebrospinal fluid leak after translabyrinthine resection of vestibular schwannoma","volume":"3","author":"Goddard","year":"2010"},{"key":"b12-0330017","series-title":"Laryngoscope","first-page":"40","article-title":"Cerebrospinal fluid leak following acoustic neuroma removal","volume":"104","author":"Hoffman","year":"1994"},{"key":"b13-0330017","series-title":"Arch Otolaryngol","first-page":"751","article-title":"Transtemporal bone microsurgical removal of acoustic neuromas. Total versus subtotal removal of acoustic tumors","volume":"80","author":"House","year":"1964"},{"key":"b14-0330017","series-title":"J Neurosurg","first-page":"617","article-title":"Report of 190 consecutive cases of large acoustic tumors (vestibular schwannoma) removed via the translabyrinthine approach","volume":"90","author":"Lanman","year":"1999"},{"key":"b15-0330017","series-title":"Otolaryngol Clin North Am","first-page":"651","article-title":"Management of complications in neurotology","volume":"40","author":"Liu","year":"2007"},{"key":"b16-0330017","series-title":"Otol Neurotol","first-page":"224","article-title":"Translabyrinthine approach for the management of large and giant vestibular schwannomas","volume":"23","author":"Mamikoglu","year":"2002"},{"key":"b17-0330017","series-title":"Otol Neurotol","first-page":"1525","article-title":"Management of cerebrospinal fluid leaks after vestibular schwannoma surgery","volume":"32","author":"Mangus","year":"2011"},{"key":"b18-0330017","series-title":"Arch Otolaryngol Head Neck Surg","first-page":"801","article-title":"Complications of the translabyrinthine approach for the removal of acoustic neuromas","volume":"125","author":"Mass","year":"1999"},{"key":"b19-0330017","series-title":"Otol Neurotol","first-page":"276","article-title":"Less than 1% cerebrospinal fluid leakage in 1,803 translabyrinthine vestibular schwannoma surgery cases","volume":"31","author":"Merkus","year":"2010"},{"key":"b20-0330017","series-title":"Surg Neurol","first-page":"553","article-title":"Cerebrospinal fluid leak after acoustic neuroma surgery","volume":"43","author":"Nutik","year":"1995"},{"key":"b21-0330017","series-title":"Arch Ohrenhielkd","first-page":"215","article-title":"Klinische und pathologische Mitteilungen IV. Ein Gliom des Akustikus","volume":"61","author":"Panse","year":"1904"},{"key":"b22-0330017","series-title":"J Neurosurg","first-page":"1126","article-title":"Staged resection of large vestibular schwannomas. Clinical article","volume":"116","author":"Raslan","year":"2012"},{"key":"b23-0330017","series-title":"Clin Otolaryngol","first-page":"405","article-title":"Dissemination of fat in CSF: a common finding following translabyrinthine acoustic neuroma surgery","volume":"30","author":"Ray","year":"2005"},{"key":"b24-0330017","series-title":"J Laryngol Otol","first-page":"870","article-title":"Subarachnoid fat embolism complicating autologous fat grafting following translabyrinthine excision of acoustic neuroma","volume":"103","author":"Reece","year":"1989"},{"key":"b25-0330017","series-title":"Clin Infect Dis","first-page":"613","article-title":"Uncomplicated postoperative lipoid meningitis secondary to autologous fat graft necrosis","volume":"30","author":"Ricaurte","year":"2000"},{"key":"b26-0330017","series-title":"Otol Neurotol","first-page":"524","article-title":"Cerebro-spinal fluid leak after acoustic neuroma 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Otolaryngol Head Neck Surg","first-page":"318","article-title":"Reconstructive options for skull defects following translabyrinthine surgery for vestibular schwannomas","volume":"16","author":"Yuen","year":"2008"},{"key":"b1-0330017","series-title":"Otol Neurotol","first-page":"538","article-title":"Hydroxyapatite cement cranioplasty in translabyrinthine acoustic neuroma surgery-update","volume":"28","author":"Arriaga","year":"2007"},{"key":"b2-0330017","series-title":"Skull Base","first-page":"157","article-title":"A novel method of translabyrinthine cranioplasty using hydroxyapatite cement and titanium mesh: a technical report","volume":"20","author":"Bambakidis","year":"2010"},{"key":"b3-0330017","series-title":"Otol Neurotol","first-page":"107","article-title":"Cerebrospinal fluid leak after acoustic neuroma surgery: a comparison of the translabyrinthine, middle fossa, and retrosigmoid approaches","volume":"24","author":"Becker","year":"2003"},{"key":"b4-0330017","series-title":"Neurosurg Clin N Am","first-page":"251","article-title":"Translabyrinthine approach for acoustic tumor removal. 1992","volume":"19","author":"Brackmann","year":"2008"},{"key":"b5-0330017","series-title":"J Neurosurg","first-page":"217","article-title":"Cerebrospinal fluid leak after acoustic neuroma surgery: influence of tumor size and surgical approach on incidence and response to treatment","volume":"94","author":"Brennan","year":"2001"},{"key":"b6-0330017","series-title":"Otolaryngol Head Neck Surg","first-page":"654","article-title":"Cerebrospinal fluid leak after translabyrinthine acoustic neuroma surgery","volume":"112","author":"Celikkanat","year":"1995"},{"key":"b7-0330017","series-title":"Am J Otol","first-page":"660","article-title":"No cerebrospinal fluid leaks in translabyrinthine vestibular schwannoma removal: reappraisal of 200 consecutive patients","volume":"20","author":"Falcioni","year":"1999"},{"key":"b8-0330017","series-title":"Otol Neurotol","first-page":"387","article-title":"Prevention and treatment of cerebrospinal fluid leak after translabyrinthine acoustic tumor removal","volume":"28","author":"Fayad","year":"2007"},{"key":"b9-0330017","series-title":"Laryngoscope","first-page":"1002","article-title":"Cerebrospinal fluid drainage in the management of CSF leak following acoustic neuroma surgery","volume":"106","author":"Fishman","year":"1996"},{"key":"b10-0330017","series-title":"Laryngoscope","first-page":"501","article-title":"Prevention and management of cerebrospinal fluid leak following vestibular schwannoma surgery","volume":"114","author":"Fishman","year":"2004"},{"key":"b11-0330017","series-title":"Otol Neurotol","first-page":"473","article-title":"Prevention of cerebrospinal fluid leak after translabyrinthine resection of vestibular schwannoma","volume":"3","author":"Goddard","year":"2010"},{"key":"b12-0330017","series-title":"Laryngoscope","first-page":"40","article-title":"Cerebrospinal fluid leak following acoustic neuroma removal","volume":"104","author":"Hoffman","year":"1994"},{"key":"b13-0330017","series-title":"Arch Otolaryngol","first-page":"751","article-title":"Transtemporal bone microsurgical removal of acoustic neuromas. 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