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Skull Base 2003; 13(2): 073-078
DOI: 10.1055/s-2003-40596
DOI: 10.1055/s-2003-40596
ORIGINAL ARTICLE
Copyright © 2003 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662
Neuroendoscopic Transnasal Repair of Cerebrospinal Fluid Rhinorrhea
Further Information
Publication History
Publication Date:
19 May 2004 (online)
ABSTRACT
Cerebrospinal fluid (CSF) rhinorrhea is a common condition managed by most otolaryngologists with the help of nasal endoscopy (sinoscopy). In the last 2 years, we have used a neuroendoscope with a working sheath to treat nine patients with CSF rhinorrhea. One patient developed a recurrence 1 month after treatment but then responded to conservative treatment. We conclude that the treatment of CSF rhinorrhea by a neuroendoscope with a working sheath is safe, effective, and easy and obviates the need for a separate sinoscope.
KEYWORDS
Cerebrospinal fluid - rhinorrhea - endoscopic surgery
REFERENCES
- 1 Hao S P. Transnasal endoscopic repair of cerebrospinal fluid rhinorrhoea: an interposition technique. Laryngoscope . 1996; 106 501-503
- 2 Ommaya A K, Di Chiro G, Baldwin M, Pennybacker J B. Nontraumatic cerebrospinal fluid rhinorrhoea. J Neurol Neurosurg Psychiatry . 1968; 31 214-225
- 3 Spetzler R F, Wilson C B. Management of recurrent CSF rhinorrhoea of the middle and posterior fossa. J Neurosurg . 1978; 49 393-397
- 4 Westmore G A, Whittam E D. Cerebrospinal fluid rhinorrhoea and its management. Br J Surg . 1982; 69 489-492
- 5 Ray B S, Bergland R M. Cerebrospinal fluid fistula: clinical aspects, techniques of localization and methods of closure. J Neurosurg . 1967; 30 399-405
- 6 Calcaterra T C. Extracranial surgical repair of cerebrospinal fluid rhinorrhoea. Ann Otol Rhinol Laryngol . 1980; 89 108-116
- 7 Park J I, Strelzow V V, Friedman W H. Current management of cerebrospinal fluid rhinorrhoea. Laryngoscope . 1983; 93 1294-1300
- 8 Yessenow R S, McCabe B F. The osteo-cutaneous flap in repair of cerebrospinal fluid rhinorrhoea: a 20-year experience. Otolaryngol Head Neck Surg . 1989; 101 555-558
- 9 Zeitouni A G, Frenkiel S, Mohr. Endoscopic repair of anterior skull base cerebrospinal fluid fistulas: an emphasis on postoperative nasal function maximization. J Otolaryngol . 1994; 23 225-227
- 10 Wigand W E. Transnasal ethmoidectomy under endoscopic control. Rhinology . 1981; 19 7-15
- 11 Mattox D E, Kennedy D W. Endoscopic management of cerebrospinal fluid leaks and cephaloceles. Laryngoscope . 1990; 100 857-862
- 12 Dodson E E, Gross C W, Swerdloff J L, Gustafson L M. Transnasal endoscopic repair of cerebrospinal fluid rhinorrhoea and skull base defect: a review of twenty-nine cases. Otolaryngol Head Neck Surg . 1994; 111 600-605
- 13 Stankiewicz J A. Cerebrospinal fluid fistula and endoscopic sinus surgery. Laryngoscope . 1991; 101 250-256
- 14 Ommaya A K. Spinal fluid fistulae. Clin Neurosurg . 1976; 23 363-392
- 15 Hirsch O. Successful closure of cerebrospinal fluid rhinorrhoea by endonasal surgery. Arch Otolaryngol . 1952; 56 1-13
- 16 McCormack B, Cooper P R, Persky M, Rothstein S. Extracranial repair of cerebrospinal fluid fistulas: technique and results in 37 patients. Neurosurgery . 1990; 27 412-417
- 17 Aarabi B, Leibrock L G. Neurosurgical approaches to cerebrospinal fluid rhinorrhoea. Ear Nose Throat J . 1992; 71 300-305
- 18 Hubbard J L, McDonald T J, Pearson B W, Laws E R. Spontaneous cerebrospinal fluid rhinorrhoea: evolving concepts in diagnosis and surgical management based on the Mayo Clinic experience from 1970 through 1981. Neurosurgery . 1985; 16 314-321
- 19 Briant T DR, Snell E. Diagnosis of cerebrospinal rhinorrhoea and the rhinologic approach to its repair. Laryngoscope . 1976; 77 1390-1409
- 20 McCabe B F. The osteo-mucoperiosteal flap in repair of cerebrospinal fluid rhinorrhoea. Laryngoscope . 1976; 86 537-539
- 21 Montgomery W W. Surgery of cerebrospinal fluid rhinorrhoea and otorrhoea. Arch Otolaryngol . 1966; 84 92-104
- 22 Schaefer S D, Manning S, Close L G. Endoscopic paranasal sinus surgery: indications and considerations. Laryngoscope . 1989; 99 1-5
- 23 Strauss H. Fluorescein als indikator fuer die Nierenfunktion. Klin Wochenschr . 1913; 50 2226-2227
- 24 Fox N. Cure in a case of cerebrospinal rhinorrhoea. Arch Otolarynogol Head Neck Surg . 1933; 17 85-86
- 25 Mahaley M S, Odom G L. Complications following intracranial injections of fluorescein. J Neurosurg . 1966; 25 298-299
- 26 Bibas A G, Skia B, Hickey S A. Transnasal endoscopic repair of cerebrospinal fluid rhinorrhoea. Br J Neurosurg . 2000; 14 49-52
- 27 Lanza D C, O'Brien D A, Kennedy D W. Endoscopic repair of cerebrospinal fluid fistulae and encephaloceles. Laryngoscope . 1996; 106 1119-1125
- 28 Roberts G A, Foy P M, Bolger C. Idiopathic spontaneous cerebrospinal fluid rhinorrhoea and pneumocephalus: case report and literature review. Br J Neurosurg . 1996; 10 513-517
- 29 Shaffrey C I, Spotnitz W D, Shaffrey N E, Jane J A. Neurosurgical applications of fibrin glue: augmentation of dural closure in 134 patients. Neurosurgery . 1990; 26 207-210