An alternative method for dealing with cerebrospinal fluid fistulae in inner ear deformities

Objective: This study aimed to review the management of cerebrospinal fluid (CSF) fistulae in the setting of developmental inner ear deformity, Study Design: The study design was a case review close examination of preop erative radiology, and corresponding intraoperative images. Technique: A definitive method of CSF fistula closure is described using pr eviously known techniques used commonly in skull base surgery. Conclusions: The use of a multiple-level, reinforced wound closure techniqu e is necessary to definitively close CSF fistulae in extreme inner ear defo rmity and to prevent further episodes of CSF leak and meningitis.