Endoscopic repair of cerebrospinal fluid rhinorrhea.
Publication/Presentation Date
1-1-2000
Abstract
Endoscopic repair of cerebrospinal fluid rhinorrhea is a promising alternative to traditional repair techniques. This article reports our experience with 21 cases (10 spontaneous, 8 iatrogenic, and 3 traumatic). Various diagnostic radiographic modalities were used, including computer-aided techniques. Most repairs were accomplished with a free fascial graft positioned in the epidural space. Postoperative lumbar drainage was used in 15 cases. Initial repair was successful in 18 cases (85.7%). In all 3 failures, the surgeon had difficulty with proper graft placement. Additionally, 2 of these cases were confounded by early inadvertent removal of the lumbar drain. All patients in whom the procedure failed underwent a second successful endoscopic repair. There were no major complications. In our experience endoscopic repair of cerebrospinal fluid rhinorrhea is a safe and effective approach that can be improved with computer-aided localization devices. Proper graft placement is critical, and lumbar drainage is an important adjunct in selected cases.
Volume
122
Issue
1
First Page
56
Last Page
60
ISSN
0194-5998
Published In/Presented At
Mao, V. H., Keane, W. M., Atkins, J. P., Spiegel, J. R., Willcox, T. O., Rosen, M. R., Andrews, D., & Zwillenberg, D. (2000). Endoscopic repair of cerebrospinal fluid rhinorrhea. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 122(1), 56–60. https://doi.org/10.1016/S0194-5998(00)70144-6
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
10629483
Department(s)
Administration and Leadership
Document Type
Article