Use of hydroxyapatite bone cement to prevent cerebrospinal fluid leakage through the frontal sinus: Technical report

Donald A. Ross, Lawrence J. Marentette, B. Gregory Thompson, Jeffrey S. Haller

Research output: Contribution to journalArticle

16 Scopus citations

Abstract

OBJECTIVE: To test the efficacy of a simple technique of frontal sinus obliteration during low frontal craniotomy using hydroxyapatite cement instead of more traditional methods, such as pericranial flaps, free muscle or adipose grafts, lumbar drainage, or fibrin glue. METHODS: Eight patients undergoing low frontal craniotomy for intradural surgery had the frontal sinus obliterated by careful removal of mucosa followed by filling of the sinus with hydroxyapatite bone cement. No other adjuncts for preventing cerebrospinal fluid leakage through the sinus were used. RESULTS: At an average follow-up of 9 months, there were no cerebrospinal fluid leaks, infections, instances of resorption, or cosmetic deformities. CONCLUSION: Hydroxyapatite bone cement seems to be a simple and effective method for frontal sinus obliteration and prevention of cerebrospinal fluid leakage.

Original languageEnglish (US)
Pages (from-to)401-403
Number of pages3
JournalNeurosurgery
Volume45
Issue number2
DOIs
StatePublished - Aug 1 1999

Keywords

  • Cerebrospinal fluid leak
  • Cranioplasty
  • Craniotomy
  • Frontal sinus
  • Hydroxyapatite bone cement

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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