Endoscopic CSF leak repair. Curr Opin Otolaryngol Head Neck Surg 2007 Feb;15(1):35-9
Date
01/11/2007Pubmed ID
17211181DOI
10.1097/MOO.0b013e3280123fceScopus ID
2-s2.0-33846117906 (requires institutional sign-in at Scopus site) 70 CitationsAbstract
PURPOSE OF REVIEW: The purpose of this review is to discuss endoscopic management of cerebrospinal fluid leaks and to highlight recent advances in both outcomes and technique.
RECENT FINDINGS: Endoscopic techniques targeting the repair of skull-base defects have evolved as instrumentation for intranasal use has developed. The principles of endoscopic repair mirror those of open repair, with emphasis placed on site identification, site preparation, accurate graft placement and postoperative management. Several patient factors will affect the surgical and medical care of patients with cerebrospinal fluid rhinorrhea, including location, cause and overall medical condition. Numerous techniques have been described and large series attest to high success rates. The use of radiographic image-guidance systems promises to advance localization of the leak site. Endoscopic repair of cerebrospinal fluid leaks remains an accurate and complete method for the repair of cerebrospinal fluid leaks with decreased operative morbidity.
SUMMARY: Endoscopic repair of anterior skull-base defects has a high success rate and markedly decreased morbidity as compared with traditional intracranial approaches. The endoscopic approach should be considered the technique of choice for repair of most cerebrospinal fluid fistulae and skull-base defects.
Author List
Martin TJ, Loehrl TAAuthor
Todd A. Loehrl MD Professor in the Otolaryngology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Cerebrospinal Fluid RhinorrheaCranial Fossa, Anterior
Endoscopy
Ethmoid Bone
Humans
Paranasal Sinuses
