Endoscopic repair of cerebrospinal fluid rhinorrhea: Is it the treatment of choice?

被引：0

作者：

Nachtigal, D ^{[1
]}

Frenkiel, S ^{[1
]}

Yoskovitch, A ^{[1
]}

Mohr, G ^{[1
]}

机构：

[1] McGill Univ, SMBD, Dept Otolaryngol, Jewish Gen Hosp, Montreal, PQ H3T 1E2, Canada

来源：

JOURNAL OF OTOLARYNGOLOGY | 1999年 / 28卷 / 03期

关键词：

cerebrospinal fluid rhinorrhea; endoscopic technique; fibrin sealant; free graft; meningoencephalocele; pituitary adenoma;

D O I：

暂无

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Between 1991 and 1998, 12 patients with cerebrospinal fluid rhinorrhea were operated on using the intranasal endoscopic approach. The procedure was successful in 10 cases. The endoscopic approach failed in two patients who had larger bony defects and herniating meningoencephaloceles. This paper analyzes the case material with respect to the etiology and site of leakage. The value of computed tomography and magnetic resonance imaging for preoperative localization of the leak is discussed. The technique of underlay fascia graft is described and discussion ensues regarding potential pitfalls that may lead to failure of leak closure.

引用

页码：129 / 133

页数：5

共 21 条

[1]

ANAND VK, 1994, INOLOGY, V33, P212

[2]

APPELBAUM EL, 1993, OTOLARYNGOLOGY HEAD, V1, P965

[3]

CALCATERRA TC, 1985, OTOLARYNG CLIN N AM, V18, P99

[4]

CHANDLER JR, 1983, OTOLARYNG CLIN N AM, V16, P623

[5] Traumatic cerebrospinal fluid leakage: Risk factors and the use of prophylactic antibiotics [J].

Choi, D ;

Spann, R .

BRITISH JOURNAL OF NEUROSURGERY, 1996, 10 (06) :571-575

[6] CT CISTERNOGRAPHY IN THE INVESTIGATION OF CEREBROSPINAL-FLUID RHINORRHEA [J].

COLQUHOUN, IR .

CLINICAL RADIOLOGY, 1993, 47 (06) :403-408

[7]

DOHLMAN G, 1948, Acta Otolaryngol Suppl, V67, P20

[8] Endonasal endoscopic closure of cerebrospinal fluid fistulas at the anterior cranial base [J].

Gjuric, M ;

Goede, U ;

Keimer, H ;

Wigand, ME .

ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY, 1996, 105 (08) :620-623

[9]

Gupta V, 1997, ACTA RADIOL, V38, P603

[10]

HIRSCH O, 1952, AMA ARCH OTOLARYNGOL, V56, P1

← 1 2 3 →