endoscopic repair of csf rhinorrhea: an institutional experience
نویسندگان
چکیده
introduction: endoscopic repair is considered the treatment of choice in cerebrospinal fluid (csf) rhinorrhea. the aim of our study was to analyze the etiopathogenesis of csf rhinorrhea, the outcome of treatment and the causes of failure in a developing-country setting. materials and methods: a retrospective review of patients treated with endoscopic repair for csf rhinorrhea at a tertiary care hospital in southern india from january 2002 to december 2009 identified 36 patients, the majority of them being women. the defects were closed in three layers using fat, fascia lata and nasal mucosa along with a fibrin sealant in the majority of the patients. per-operatively, a subarachnoid drain was placed in all patients. patients were followed up for 1 year. results: spontaneous onset of csf rhinorrhea was noted in 61% of patients. the most common site of leak was found to be the left cribriform plate area. hence the most common cause of csf rhinorrhea in our study was spontaneous and the second most common was post-traumatic. our success rate on the first attempt at endoscopic repair was 100%, with a recurrence rate of 6%. a large defect, failure of localization of the defect, or other co-morbid conditions such as chronic cough may be the most likely causes of recurrence of leak. conclusion: accurate localization of the site of lesion using a high-resolution computed tomography (ct) scan with magnetic resonance imaging (mri) and confirmation of the site of leak by intraoperative valsalva maneuver along with multilayered closure of the dural defect and post-operative lumbar drain appear to be essential for the successful endoscopic repair of csf rhinorrhea.
منابع مشابه
Endoscopic Repair of CSF Rhinorrhea: An Institutional Experience
Introduction: Endoscopic repair is considered the treatment of choice in cerebrospinal fluid (CSF) rhinorrhea. The aim of our study was to analyze the etiopathogenesis of CSF rhinorrhea, the outcome of treatment and the causes of failure in a developing-country setting. Materials and Methods: A retrospective review of patients treated with endoscopic repair for CSF rhinorrhea at a tertiary ca...
متن کاملEndoscopic Repair of CSF Rhinorrhea: An Institutional Experience.
INTRODUCTION Endoscopic repair is considered the treatment of choice in cerebrospinal fluid (CSF) rhinorrhea. The aim of our study was to analyze the etiopathogenesis of CSF rhinorrhea, the outcome of treatment and the causes of failure in a developing-country setting. MATERIALS AND METHODS A retrospective review of patients treated with endoscopic repair for CSF rhinorrhea at a tertiary care...
متن کاملEndoscopic repair of CSF rhinorrhea: experience of 44 cases.
UNLABELLED Cerebrospinal fluid (CSF) rhinorrhea is a leakage of fluid from the subarachnoid space to the frontal, sphenoidal or ethmoidal sinuses. CSF rhinorrhea is a known potential complication with significant morbidity and mortality. It may present a significant challenge in diagnosis, localization and management. STUDY DESIGN Series study. MATERIAL AND METHOD Between 1993 and 2004, 44 ...
متن کاملEndoscopic Endonasal Multilayer Repair Of CSF Rhinorrhea With Utilization Of The Middle Turbinate Rotational Flap
Background: In recent years, many techniques for endoscopic closure of CSF leaks have been described and almost completely replaced the more traumatic transcranial and extracranial procedures. Aim of work: To evaluate endoscopic endonasal multilayer repair of CSF rhinorrhea of anterior and middle cranial fossae utilizing the vascularized middle turbinate rotational flap. Patients and methods: T...
متن کاملOutcome of transcranial repair of traumatic CSF rhinorrhea.
BACKGROUND Traumatic brain injury represents a significant cause of mortality and permanent disability in the adult population. Posttraumatic CSF rhinorrhea is one of the conditions most strongly associated with severe brain injury. Knowledge on the natural history of the illness and the outcomes of patients with transcranial subfrontal approach for posttraumatic CSF rhinorrhea approach may hel...
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عنوان ژورنال:
iranian journal of otorhinolaryngologyجلد ۲۸، شماره ۱، صفحات ۳۹-۴۳
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