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This project seeks to test whether a cell-seeded collagen hydrogel dressing can reduce CSF leak after skull base surgery. Normally, patients at risk for CSF leak are treated with a commercial collagen matrix called Duragen. In this study, our sterile, cGMP manufactured collagen hydrogel dressing will be seeded with the stromal vascular fraction (SVF) mechanically isolated from lipoaspirate taken intra-operatively. This SVF contains pro-regenerative adipose stem cells (ASCs). The ASC-seeded hydrogel will be used as a supplement to Duragen to reinforce the skull base closure. The goal is to establish safety as well as to secondarily evaluate for effectiveness in reducing CSF leak postoperatively.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Hydrogel recipient | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Duragen with Collagen Hydrodel and ASCs | Device | Duragen combined with collagen hydrogel and patient's stem cells |
|
| Measure | Description | Time Frame |
|---|---|---|
| Rate of CSF leak | 6 months active participation (date of surgery + 6 months follow up via chart review) |
| Measure | Description | Time Frame |
|---|---|---|
| Length of hospital stay | 6 months active participation (date of surgery + 6 months follow up via chart review) | |
| Need for reoperation | 6 months active participation (date of surgery + 6 months follow up via chart review) |
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| ID | Term |
|---|---|
| D002558 | Cerebrospinal Fluid Otorrhea |
| ID | Term |
|---|---|
| D065634 | Cerebrospinal Fluid Leak |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D006259 | Craniocerebral Trauma |
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| Postoperative hematoma | 6 months active participation (date of surgery + 6 months follow up via chart review) |
| Postoperative infection | 6 months active participation (date of surgery + 6 months follow up via chart review) |
| Need for rehospitalization | 6 months active participation (date of surgery + 6 months follow up via chart review) |
| Death | 6 months active participation (date of surgery + 6 months follow up via chart review) |
| D020196 | Trauma, Nervous System |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D014947 | Wounds and Injuries |