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TachoSil® versus current practice in dura sealing techniques for the prevention of postoperative cerebrospinal fluid (CSF) leaks in patients undergoing skull base surgery: An open label, randomised, controlled, multicentre, parallel group efficacy and safety trial.

Phase 3
Conditions
Leakage of brain fluids.
10040795
Registration Number
NL-OMON32695
Lead Sponsor
ycomed
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
Not specified
Target Recruitment
28
Inclusion Criteria

Is the surgical approach/procedure consistent with skull base surgery? I.e. at least one of the following:
a. Lateral approach to the foramen magnum: far lateral, extreme lateral, anterolateral, posterolateral,
b. Approach to the jugular foramen: infratemporal, juxta condylar, transjugular,
c. Approach to the cerebello pontine (CP) angle and petrous apex retrosigmoïd, translabyrinthine, retrolabyrinthine, transcochlear (limited transpetrosal),
d. Approach to the middle fossa: subtemporal (+/- petrous apex drilling), pteronial approach (any fronto temporal approach +/- orbitozygomatic deposition),
e. Approach to the anterior fossa: subfrontal (uni or bilateral),
f. Approach to the midline posterior fossa.

Exclusion Criteria

* Has the patient been subject to emergency surgery within the last 3 months i.e. all non-elective surgery?
* Is the patient expected to need additional neurosurgery within the follow-up periodof Week 7±1 at the same surgical site?
* Is the surgical approach/procedure consistent with any transcranial or transfacial or combination of transcranial - transfacial approaches with wide defect in the skull base? I.e. any of the following:
g. Trans basal approach,
h. Total petrosectomy,
i. Trans facial approach,
j. Trans sphenoïdal approach,
k. Endoscopic procedures,
l. Trans oral approach (and any extension: Le Fort, mandibulotomy).

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>The primary endpoint is the occurrence of either a clinically evident CSF-leak<br /><br>or a clinically evident pseudomeningocele.</p><br>
Secondary Outcome Measures
NameTimeMethod
<p>The secondary endpoint is defined as the incidence of non-clinically evident<br /><br>epidural fluid collections found on CT- or MRI-scans and will be evaluated<br /><br>post-operatively until the Follow-up visit.</p><br>
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