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Patient Introduction
1. Incision and Exposure
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a. Temporalis Fascia Graft Harvest
b. Exposure of Temporal Bone
2. Middle Fossa Craniotomy
3. Dura Elevation
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a. Identification and Exposure of Tegmen Defect
4. Repair of Tegmen Defect
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a. Measure Defect
b. Harvest Bone Graft
c. Shaping Bone Graft
d. Prepare the Fascia Graft
e. Insetting the Grafts
f. DuraGen Placement
5. Craniotomy Repair
6. Closure
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a. Muscle Closure
b. Craniotomy Repair
7. Repair of Tympanic Membrane Perforation
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a. Removal of Pressure-Equalization Tube
b. Paper Patch
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Middle Fossa Approach to Repair Cerebrospinal Fluid Leak
Calhoun D. Cunningham III, MD
1
;
Benjamin Park
2
;
C. Scott Brown MD
1
1
Duke University Medical Center
2
Vanderbilt University School of Medicine
Tags:
Otolaryngology
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Authors
Calhoun D. Cunningham III, MD
Benjamin Park
C. Scott Brown, MD
Filmed At:
Duke University Medical Center
Article Information
Publication Date
N/A
Article ID
186
Production ID
0186
Volume
N/A
Issue
186
DOI
https://doi.org/10.24296/jomi/186