Präoperative klinische, radiologische und nuklearmedizinische Diagnostik und intraoperativer Befund bei frontobasaler Liquorfistel

Abstract

Prä-und intraoperative Befunde von 71 Patienten mit rhinochirurgisch verschlossener frontobasaler Liquorfistel werden gegenubergestellt. In 80% der

Detection of rhinorrhoea by cisternography in combination with single photon emission tomography, following lumbar injection of iodine-123-labelled albumin

“…The fistulae have been demonstrated by measurement of the activity on pledgets placed in the nasal cavity (McKusick et al 1973), by scintigraphy alone (Front and Penning 1971;Mamo et al 1982;Meada et al 1984) or, most often, by a combination of the two (Jefferey et al 1990; Lemke and Beeger 1980;McKusick et al 1973;Oberson 1972;Otto and Koch 1980;Schicha et al 1983Schicha et al , 1985. The success rate for these methods has been reported to vary between 59% (Lemke and Berger 1980) and 96% (Mamo et al 1982).…”

“…The success rate for these methods has been reported to vary between 59% (Lemke and Berger 1980) and 96% (Mamo et al 1982). Especially small defects in the cribriform plate have been reported to be difficult to detect (Lemke and Beeger 1980;Mundiger and BriNer 1979;Oberson 1972). Therefore a sensitive method is required to locate the exact site preoperatively, especially when otherwise sensitive methods, such as CT of the cranium, fail to reveal the site of a leak.…”