Cerebrospinal Fluid Diversion in Endoscopic Skull Base Reconstruction An Evidence-Based Approach to the Use of Lumbar Drains

被引：28
作者：
Tien, Duc A. [1 ]
Stokken, Janalee K. [2 ]
Recinos, Pablo F. [1 ,3 ]
Woodard, Troy D. [1 ,3 ]
Sindwani, Raj [1 ,3 ]
机构：
[1] Cleveland Clin, Head & Neck Inst, Sect Rhinol Sinus & Skull Base Surg, Cleveland, OH 44195 USA
[2] Mayo Clin, Dept Otolaryngol Head & Neck Surg, Rochester, MN 55905 USA
[3] Cleveland Clin, Minimally Invas Cranial Base & Pituitary Surg Pro, Rose Ella Burkhardt Brain Tumor & Neurooncol Ctr, Cleveland, OH 44195 USA
来源：
OTOLARYNGOLOGIC CLINICS OF NORTH AMERICA | 2016年 / 49卷 / 01期
关键词：
Endoscopic skull base reconstruction; Minimally invasive skull base surgery; Cerebrospinal fluid leak; Cerebrospinal fluid diversion; Lumbar drains; Subarachnoid drains; NASOSEPTAL FLAP; SURGERY; LEAKS; PUNCTURE; DEFECTS; REPAIR;
D O I：
10.1016/j.otc.2015.09.007
中图分类号：
R76 [耳鼻咽喉科学];
学科分类号：
100213 ;
摘要：
Before the vascularized pedicled nasoseptal flap was popularized, lumbar drains (LDs) were routinely used for cerebral spinal fluid (CSF) diversion in endoscopic skull base reconstruction. LDs are not necessary in most CSF leaks encountered during skull base surgery. The use of an LD is considered in select high-risk settings in which a high-flow leak is anticipated and the patient has significant risk factors that make closure of the leak more challenging. Evidence for the use of LDs in preventing postoperative after endoscopic skull base reconstruction is reviewed and a rational framework for their use is proposed.
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收藏
页码：119 / +
页数：12
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  • [1] The Efficacy and Safety of Preoperative Lumbar Drain Placement in Anterior Skull Base Surgery
    Ackerman, Paul D.
    Spencer, Drew A.
    Prabhu, Vikram C.
    [J]. JOURNAL OF NEUROLOGICAL SURGERY REPORTS, 2013, 74 (01) : 1 - 9
  • [2] Incidence of Post-Dural Puncture Headache in Research Volunteers
    de Almeida, Sergio Monteiro
    Shumaker, Stephanie D.
    LeBlanc, Shannon K.
    Delaney, Patrick
    Marquie-Beck, Jennifer
    Ueland, Susan
    Alexander, Terry
    Ellis, Ronald J.
    [J]. HEADACHE, 2011, 51 (10): : 1503 - 1510
  • [3] Efficacy of the pedicled nasoseptal flap without cerebrospinal fluid (CSF) diversion for repair of skull base defects: incidence of postoperative CSF leaks
    Eloy, Jean Anderson
    Kuperan, Arjuna B.
    Choudhry, Osamah J.
    Harirchian, Sanaz
    Liu, James K.
    [J]. INTERNATIONAL FORUM OF ALLERGY & RHINOLOGY, 2012, 2 (05) : 397 - 401
  • [4] Graded repair of cranial base defects and cerebrospinal fluid leaks in transsphenoidal surgery
    Esposito, Felice
    Dusick, Joshua R.
    Fatemi, Nasrin
    Kelly, Daniel F.
    [J]. NEUROSURGERY, 2007, 60 (04) : 295 - 303
  • [5] Gasket Seal Closure for Extended Endonasal Endoscopic Skull Base Surgery: Efficacy in a Large Case Series
    Garcia-Navarro, Victor
    Anand, Vijay K.
    Schwartz, Theodore H.
    [J]. WORLD NEUROSURGERY, 2013, 80 (05) : 563 - 568
  • [6] TECHNIQUES AND COMPLICATIONS OF EXTERNAL LUMBAR DRAINAGE FOR NORMAL PRESSURE HYDROCEPHALUS
    Governale, Lance S.
    Fein, Nicole
    Logsdon, Jessica
    Black, Peter M.
    [J]. NEUROSURGERY, 2008, 63 (04) : 379 - 384
  • [7] Endoscopic Endonasal Transethmoidal Transcribriform Transfovea Ethmoidalis Approach to the Anterior Cranial Fossa and Skull Base
    Greenfield, Jeffrey P.
    Anand, Vijay K.
    Kacker, Ashutosh
    Seibert, Michael J.
    Singh, Ameet
    Brown, Seth M.
    Schwartz, Theodore H.
    [J]. NEUROSURGERY, 2010, 66 (05) : 883 - 892
  • [8] A novel reconstructive technique after endoscopic expanded endonasal approaches: Vascular pedicle nasoseptal flap
    Hadad, Gustavo
    Bassagasteguy, Luis
    Carrau, Ricardo L.
    Mataza, Juan C.
    Kassam, Amin
    Snyderman, Carl H.
    Mintz, Arlan
    [J]. LARYNGOSCOPE, 2006, 116 (10) : 1882 - 1886
  • [9] Blood patch rates after lumbar puncture with Whitacre versus Quincke 22- and 20-gauge spinal needles
    Hatfield, Malcolm K.
    Handrich, Stephen J.
    Willis, Jeffrey A.
    Beres, Robert A.
    Zaleski, George X.
    [J]. AMERICAN JOURNAL OF ROENTGENOLOGY, 2008, 190 (06) : 1686 - 1689
  • [10] Risk factors for postoperative cerebrospinal fluid leak and meningitis after expanded endoscopic endonasal surgery
    Ivan, Michael E.
    Iorgulescu, J. Bryan
    El-Sayed, Ivan
    McDermott, Michael W.
    Parsa, Andrew T.
    Pletcher, Steven D.
    Jahangiri, Arman
    Wagner, Jeffrey
    Aghi, Manish K.
    [J]. JOURNAL OF CLINICAL NEUROSCIENCE, 2015, 22 (01) : 48 - 54
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