2020
DOI: 10.4236/ojmn.2020.102024
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The Role of Trans-Cranial Approach in the Management of Spontaneous CSF Fistula

Abstract: Background: Spontaneous descent of the CSF (Cerebrospinal fluid) from the nose is called rhinorrhea. The causes are defects in bones of the base or meningeal tear. The surgical management is still a challenge. The surgical repair is a must to prevent the complication which could be brain abscess, meningitis, or pneumocephalus. The available surgical management is either transnasal, or transcranial. The endonasal route represents an easy access but equally aggressive alternative and of limited access. Objective… Show more

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