Alwani M, et al. - In this retrospective cohort study, researchers identified audiological improvement to repair spontaneous cerebrospinal fluid (SCSF) leaks after middle cranial fossa (MCF) approach. Study participants included 24 consecutive patients (27 ears) with temporal bone sCSF leak over a 4-year period. Patient age, sex, ethnicity, BMI, location of CSF leak, recurrence of CSF leak, and presence of encephalocele(s) have been recorded. According to results, of the 27 ears, 55% had multiple tegmen defects and 82% had more or equal to 1 encephaloceles. At a median follow up of 4 months, there were no recurrent CSF leaks. The authors concluded that MCF approach for repairing sCSF leaks yields substantial improvements in conductive hearing loss and is highly effective in managing the entire lateral skull base where multiple bony defects are often found.