Treatment Outcomes of Endoscopic Repairs of Sinonasal Cerebrospinal Fluid Leaks

Lee, Dong‐Hoon; Lim, Sang-Chul; Joo, Young‐Eun

doi:10.1097/scs.0b013e31821c6ad3

Cited by 40 publications

(41 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This was in concordance with the results obtained in other studies [8][9][10][11][12][13][14][15] (Table 2). The defect was repaired, depending on the size, by underlay-overlay technique or bathplug technique.…”

Section: Discussionsupporting

confidence: 95%

“…The high success rate was attributed to the multi-layered repair using fascia lata, adipose tissue, microfibrillar collagen and oxidized cellulose. Various other graft materials have been used in other studies to repair the defect-nasal cartilage and mucoperichondrium, 8-10 middle turbinate flap, 8,9,11,13,14 fibrin glue. 8,13,14 We did not use any of these in our study.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Transnasal Endoscopic Cerebrospinal Fluid Rhinorrhea Repair: Our Experience of 35 Cases

Grover¹,

Singhal²,

Singh³

et al. 2014

An International Journal Clinical Rhinology

View full text Add to dashboard Cite

Cerebrospinal fluid rhinorrhea results from a breakdown of barriers between the subarachnoid space and aerodigestive tract. Because of the risk of potential intracranial complications, all persistent cerebrospinal fluid (CSF) leaks should be repaired. Over the past few decades, with the advances in endoscopic techniques, the surgical management of CSF rhinorrhea has changed significantly. CSF leak repair has advanced from the conventional open intracranial approaches by neurosurgeons to the transnasal endoscopic ones by otorhinolaryngologists. In this study, 35 patients with CSF leaks underwent endoscopic repair with a 94.3% first attempt success rate, and 100% overall success rate. There were no major intraoperative or postoperative complications. To conclude, the endoscopic approach has a high success rate with minimal morbidity and has therefore, become the preferred method.

show abstract

Section: Discussionsupporting

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Transnasal Endoscopic Cerebrospinal Fluid Rhinorrhea Repair: Our Experience of 35 Cases

Grover¹,

Singhal²,

Singh³

et al. 2014

An International Journal Clinical Rhinology

View full text Add to dashboard Cite

show abstract

“…However, endoscopic repair of traumatic CSF leaks is a well‐accepted treatment with a low complication rate. {Banks, 2009 #3115}…”

Section: Primary Csf Rhinorrheamentioning

confidence: 99%

“…The predominant location of the CSF leaks was ethmoidal. Lee et al . successfully closed all traumatic CSF leaks in the ethmoid (n = 9) and sphenoid (n = 10) sinuses, but had 4 failures in the frontal sinus (n = 9).…”

Section: Primary Csf Rhinorrheamentioning

confidence: 99%

ICAR: endoscopic skull‐base surgery

Wang

Zanation

Gardner

et al. 2019

Int Forum Allergy Rhinol

160

279

View full text Add to dashboard Cite

Background Endoscopic skull‐base surgery (ESBS) is employed in the management of diverse skull‐base pathologies. Paralleling the increased utilization of ESBS, the literature in this field has expanded rapidly. However, the rarity of these diseases, the inherent challenges of surgical studies, and the continued learning curve in ESBS have resulted in significant variability in the quality of the literature. To consolidate and critically appraise the available literature, experts in skull‐base surgery have produced the International Consensus Statement on Endoscopic Skull‐Base Surgery (ICAR:ESBS). Methods Using previously described methodology, topics spanning the breadth of ESBS were identified and assigned a literature review, evidence‐based review or evidence‐based review with recommendations format. Subsequently, each topic was written and then reviewed by skull‐base surgeons in both neurosurgery and otolaryngology. Following this iterative review process, the ICAR:ESBS document was synthesized and reviewed by all authors for consensus. Results The ICAR:ESBS document addresses the role of ESBS in primary cerebrospinal fluid (CSF) rhinorrhea, intradural tumors, benign skull‐base and orbital pathology, sinonasal malignancies, and clival lesions. Additionally, specific challenges in ESBS including endoscopic reconstruction and complication management were evaluated. Conclusion A critical review of the literature in ESBS demonstrates at least the equivalency of ESBS with alternative approaches in pathologies such as CSF rhinorrhea and pituitary adenoma as well as improved reconstructive techniques in reducing CSF leaks. Evidence‐based recommendations are limited in other pathologies and these significant knowledge gaps call upon the skull‐base community to embrace these opportunities and collaboratively address these shortcomings.

show abstract

“…Various other graft materials have been used in other studies to repair the defectnasal cartilage and mucoperichondrium, middle turbinate flap and fibrin glue. (6,17,18) We used fibrin glue in all the cases.…”

Section: Discussionmentioning

confidence: 99%

Retrospective Study of Endoscopic Management of CSF Rhinorrhoea- A Case Series

Vihapure¹,

Agarwal²,

Dokania³

2017

jemds

View full text Add to dashboard Cite

BACKGROUNDCerebrospinal fluid rhinorrhoea can arise as a complication of trauma, hydrocephalus, endoscopic sinus surgery or it may occur spontaneously without any identifiable cause. Surgical repair is recommended in patients who do not respond to the conservative management. In recent years Endonasal endoscopic approach has become the preferred method for repairing the CSF leaks, as it is extracranial extradural method and better outcomes have been reported as compared to the intracranial approaches. Aim and Objective-To evaluate the results of Endonasal Endoscopic repair of CSF Rhinorrhoea.

show abstract

Treatment Outcomes of Endoscopic Repairs of Sinonasal Cerebrospinal Fluid Leaks

Abstract: Our results showed that endoscopic repair of sinonasal CSF leaks is an effective treatment with a success rate of 93%. Open-endoscopic repair of frontal CSF leaks is feasible in treating endoscopic failures of frontal CSF leaks.

Cited by 40 publications

References 14 publications

Transnasal Endoscopic Cerebrospinal Fluid Rhinorrhea Repair: Our Experience of 35 Cases

Transnasal Endoscopic Cerebrospinal Fluid Rhinorrhea Repair: Our Experience of 35 Cases

ICAR: endoscopic skull‐base surgery

Retrospective Study of Endoscopic Management of CSF Rhinorrhoea- A Case Series

Contact Info

Product

Resources

About