후두개와 수술 후 경막 하 콜라겐 매트릭스 이식술의 뇌척수액 유출 방지에 대한 효용성

• 영문명: Effectiveness of collagen matrix underlay graft technique for CSF sealing in posterior fossa surgery
• 발행기관: 대한두개저학회
• 저자명: 정은오(Eun-Oh Jeong) 김선환(Seon-Hwan Kim) 임정욱(Jeong-Wook Lim) 권현조(Hyon-Jo Kwon) 최승원(Seung-Won Choi) 고현송(Hyeon-Song Koh) 염진영(Jin-Young Youm) 송시헌(Shi-Hun Song)
• 간행물 정보: 『대한두개저학회지』제11권 제2호, 59~64쪽, 전체 6쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2016.09.30

영문 초록

Objective : Complete protection from CSF(cerebrospinal fluid) leakage after posterior fossa surgerywas difficult, although many variable methods has been performed. Collagen matrix is product toprotect dura defect and prevent CSF leakage. The authors performed collagen matrix underlay graftand identified effectiveness of this technique for CSF sealing.Methods : The authors evaluated 92 posterior fossa surgery used fibrin glue, polyethylene glycol(PEG) sealant, fibrinogen based collagen fleece, collagen matrix between January 2006 andDecember 2015. CSF leakage incidence according to use of variable dura sealing materials wasassessed.Results : CSF leakage occurred 8 cases(8.7%) in 92 posterior fossa surgery. CSF leakage didn’toccur in 42 cases underwent collagen matrix underlay graft. Cases of fibrin glue, polyethyleneglycol(PEG) sealant, fibrinogen based collagen fleece had effect of CSF leakage block, howeverdidn’t have significant difference according to use of this materials.Conclusion : Collagen matrix underlay graft after posterior fossa surgery didn’t have complicationsuch as chemical injury and infection and had effect of CSF sealing.

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키워드

CSF leakage Posterior fossa Collagen matrix