Endoscopic management of cerebrospinal fluid leak associated with the use of bone wax in skull-base surgery.
Publication/Presentation Date
3-1-2005
Abstract
OBJECTIVE: To alert otolaryngologists to consider the possibility that bone wax may be associated with cerebrospinal fluid leaks that occur immediately after skull-base craniotomy approaches.
STUDY DESIGN AND SETTING: Clinical report from surgical experience in a tertiary care setting.
RESULTS: Three patients presented with brisk cerebrospinal fluid leak after craniotomy. Sinus endoscopy revealed bone wax within a small parasphenoid defect in all 3 cases.
CONCLUSIONS: Bleeding from areas of the skull base adjacent to the paranasal sinuses during craniotomy can signal a small breach of the skull base. Bone wax may control bleeding from edges of transected bone but also stent the skull-base defect open, preventing fibrin deposition and spontaneous healing and closure.
SIGNIFICANCE: Otolaryngologists repairing a cerebrospinal fluid leak after a skull-base craniotomy approach should consider the possibility of encountering bone wax and be able to identify it to better treat their patient.
Volume
132
Issue
3
First Page
418
Last Page
420
ISSN
0194-5998
Published In/Presented At
Bolger, W. E., Tadros, M., Ellenbogen, R. G., Judy, K., & Grady, M. S. (2005). Endoscopic management of cerebrospinal fluid leak associated with the use of bone wax in skull-base surgery. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 132(3), 418–420. https://doi.org/10.1016/j.otohns.2004.11.008
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
15746855
Department(s)
Administration and Leadership
Document Type
Article