Cerebrospinal rhinorrhea: A comprehensive review and a definition of the responsibility of the rhinologist in diagnosis and treatment

McCoy, Gordon

doi:10.1288/00005537-196309000-00001

Cited by 54 publications

(13 citation statements)

References 97 publications

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“…Perioperative antibiotics were given while nasal packing and intradural lumbar drain were in place. Some authors still recommend the routine use of a lumbar drain 28 , although recent studies suggest it should not be routinely performed 20 . Although the size of the fistula act as a limiting factor for its complete occlusion, in our cases it was not relevant for the success of the procedure.…”

Section: Discussionmentioning

confidence: 99%

Surgical management of cerebrospinal fluid rhinorrhea under endoscopic control

Landeiro¹,

Flores²,

Lázaro³

et al. 2004

Arq. Neuro-Psiquiatr.

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-The surgical management of cerebrospinal fluid (CSF) rhinorrhea has changed after the introduction of functional endoscopic sinus surgery.The following three cases illustrate the repair of CSF leaks with the use of rigid endoscope. Two patients had the diagnosis and the site confirmed after intrathecal fluoresceine saline injection. The obliteration of the CSF was achieved with fat free, mucoperichondrial or mucoperiostal free grafts taken from middle or inferior turbinate and kept in place by fibrin glue. Primary closure was achieved in all patients. The repair of the CSF rhinorrhea by endonasal endoscopic surgery is safe, effective and is a valid alternative to the cranial approach.KEY WORDS: cerebrospinal fluid rhinorrhea, endoscopic surgery, fluoresceine. Oclusão das fístulas liquóricas nasais sob visão endoscópicaRESUMO -Descrevemos a técnica de oclusão endoscópica por via endonasal de fístula liquórica proveniente do andar anterior em três pacientes. Dois pacientes tiveram o diagnóstico e os orifícios da fístula localizados após injeção intratecal de fluoresceína sódica. A oclusão foi obtida com enxerto de gordura livre, fragmentos de mucopericôndrio septal ou mucoperiósteal retirado do corneto médio ou inferior e selados com o auxílio de cola de fibrina. A cirurgia endoscópica endonasal é técnica segura e eficaz no tratamento da fístula esfeno-etmoidal, constituindo alternativa à abordagem craniana.

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Section: Discussionmentioning

confidence: 99%

Surgical management of cerebrospinal fluid rhinorrhea under endoscopic control

Landeiro¹,

Flores²,

Lázaro³

et al. 2004

Arq. Neuro-Psiquiatr.

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“…A complaint of clear watery nasal discharge following [5] trauma within the past few months or years was the presenting complaint in 12 patients which included accidental, iatrogenic and assault injuries. History of recurrent meningitis was the presenting complaint in three patients.…”

Section: Diagnosismentioning

confidence: 99%

Cerebrospinal fluid rhinorrhea: endoscopic repair based on a combined diagnostic approach

Bhalodiya

Joseph

2009

Indian J Otolaryngol Head Neck Surg

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“…In the literature many techniques and materials have been described in the treatment of CSF leaks, including autologous materials such as abdominal fat, nasal septal mucosa, bone, fascia lata and muscle grafts (6,11,12,13,17,19,21,25,26,35,38,43). The key of endoscopic transnasal surgical repair of the leak is an accurate preoperative location of the CSF fistula and the definition of its dimensions and of the subjective anatomy of the area.…”

mentioning

confidence: 99%

Endoscopic Endonasal Approaches For Repair Of Cerebrospinal Fluid Leaks: Nine-Year Experience

Locatelli

Rampa

Acchiardi

et al. 2006

Operative Neurosurgery

146

174

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The target of endoscopic endonasal technique in the repair of cerebrospinal fluid leaks is to ensure a stable duraplasty with the least invasive approach avoiding craniotomy. A correct diagnosis surely allows the choice of the best treatment, surgical approach, graft, and technique. Our multidisciplinary approach to this pathology during these years has been essential to gain our challenging results.

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Cerebrospinal rhinorrhea: A comprehensive review and a definition of the responsibility of the rhinologist in diagnosis and treatment

Cited by 54 publications

References 97 publications

Surgical management of cerebrospinal fluid rhinorrhea under endoscopic control

Surgical management of cerebrospinal fluid rhinorrhea under endoscopic control

Cerebrospinal fluid rhinorrhea: endoscopic repair based on a combined diagnostic approach

Endoscopic Endonasal Approaches For Repair Of Cerebrospinal Fluid Leaks: Nine-Year Experience

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