Journal article
Endoscopic repair of cerebrospinal fluid rhinorrhea
Otolaryngology-head and neck surgery, v 122(1), pp 56-60
Jan 2000
PMID: 10629483
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Endoscopic repair of cerebrospinal fluid rhinorrhea is a promising alternative to traditional repair techniques. This article reports our experience with 21 cases (10 spontaneous, 8 iatrogenic, and 3 traumatic). Various diagnostic radiographic modalities were used, including computer‐aided techniques. Most repairs were accomplished with a free fascial graft positioned in the epidural space. Postoperative lumbar drainage was used in 15 cases. Initial repair was successful in 18 cases (85.7%). In all 3 failures, the surgeon had difficulty with proper graft placement. Additionally, 2 of these cases were confounded by early inadvertent removal of the lumbar drain. All patients in whom the procedure failed underwent a second successful endoscopic repair. There were no major complications. In our experience endoscopic repair of cerebrospinal fluid rhinorrhea is a safe and effective approach that can be improved with computer‐aided localization devices. Proper graft placement is critical, and lumbar drainage is an important adjunct in selected cases. (Otolaryngol Head Neck Surg 2000;122:56‐60.)
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Details
- Title
- Endoscopic repair of cerebrospinal fluid rhinorrhea
- Creators
- Vivian H. Mao - Departments of Otolaryngology‐Head and Neck Surgery Philadelphia PennsylvaniaWilliam M. Keane - Departments of Otolaryngology‐Head and Neck Surgery Philadelphia PennsylvaniaJoseph P. Atkins - Departments of Otolaryngology‐Head and Neck Surgery Philadelphia PennsylvaniaJoseph R. Spiegel - Departments of Otolaryngology‐Head and Neck Surgery Philadelphia PennsylvaniaThomas O. Willcox - Departments of Otolaryngology‐Head and Neck Surgery Philadelphia PennsylvaniaMarc R. Rosen - Departments of Otolaryngology‐Head and Neck Surgery Philadelphia PennsylvaniaDavid Andrews - Thomas Jefferson University HospitalDavid Zwillenberg - Departments of Otolaryngology‐Head and Neck Surgery Philadelphia Pennsylvania
- Publication Details
- Otolaryngology-head and neck surgery, v 122(1), pp 56-60
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Pediatrics
- Web of Science ID
- WOS:000084768300011
- Scopus ID
- 2-s2.0-0033983820
- Other Identifier
- 991021861616104721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Otorhinolaryngology
- Surgery