Most of the site will reflect the ongoing surgical activity of Prof. Munir Elias MD., PhD. with brief slides and weekly activity. For reference to the academic and theoretical part, you are welcome to visit
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20-OCTOBER-2011 IBTISAM MUHSEN AL-HATABY 25
YEARS CSF LEAK AND MASSIVE ICH AND LACERATION OF LEFT TEMPORAL LOBE AFTER
ENT INTERVENTION AND REPAIR OF THE DURAL DEFECT.
operated by me for dural defect in the left
middle fossa with double lyodura repair, after
what CSF leak took place for 8 days.
patient was taken to the operating room and a
huge piece of muscle was harvested from the
right quadriceps femoris muscle. The craniotomy
site was refreshed in the left temporal area and
the ear reflected down and the muscle
anteriorly. Inspection of the defect site was
possible after removing the external layer of
the lyodura. There is CSF leak from the most
medial edge of the stitched lyodura near the
emergence of the left middle meningeal artery.
Double stitch with muscle piece to aid more
tight closure was used to water-tightly close
the defect. All the suspicious points, even
without CSF leak were dealt the same manner. All
the free spaces were filled with muscle, which
was dissected to several extensions to conform
the cavities and stitched to the surround to
prevent possible migration of these extensions.
closure of the wound. Smooth postoperative
recovery and the ear left exposed out of
Please! wait for 3-5 min till the
video start to load. It depends upon the internet
The patient has huge dural defect and the new
brands of lyodura are lacking the older versions
characteristics by less elasticity and they are
more thin. In this case even with double
layer lyodura CSF leak took place, which is
The new brands of Glue are also lacking the
These data conclude, that do not relay upon new
brands of medical products. They could mislead
you and make you do double efforts to resolve
FDA and other alike organizations must be more
strict in regulation to prevent greed of the
major medical companies extend and affect the
Notice: Not all operative activities
can be recorded due to lack of time.
Notice: Head injuries and very urgent surgeries are also
escaped from the plan .