Endoscopic management of cerebrospinal fluid rhinorrhea from anterior skull base defects

endoscopic management of cerebrospinal fluid rhinorrhea from anterior skull base defects

abstract   background: over the past 20 years, the minimally invasive endoscopic approach has gained widespread acceptance. the study was performed to evaluate the diagnostic method and the success rate of endoscopically diagnosed and treated csf rhinorrhea, and also investigations such as leakage site and etiologic factor.   methods: this retrospective csf leakage management review of patients...

Surgical management of cerebrospinal fluid rhinorrhea under endoscopic control.

The surgical management of cerebrospinal fluid (CSF) rhinorrhea has changed after the introduction of functional endoscopic sinus surgery.The following three cases illustrate the repair of CSF leaks with the use of rigid endoscope. Two patients had the diagnosis and the site confirmed after intrathecal fluoresceine saline injection. The obliteration of the CSF was achieved with fat free, mucope...

Cerebrospinal fluid rhinorrhea: etiology, site of leakage and endoscopic management.

OBJECTIVE To determine the etiology and site of leak of cerebrospinal fluid (CSF) rhinorrhea and the surgical efficacy of Functional Endoscopic Sinus Surgery (FESS), in closing the defect of CSF leak by different graft materials. STUDY DESIGN Case series. PLACE AND DURATION OF STUDY Department of ENT-Head and Neck Surgery, Dow University of Health Sciences, Karachi, from September 2005 to D...

Endoscopic repair of cerebrospinal fluid rhinorrhea

Endoscopic Management of Recurrent Anterior Skull Base Schwannoma

Objectives: Sinonasal schwannomas account for less than 4% of head and neck schwannomas, with the primary treatment modality being surgical excision via external approaches. The aim of this report is to present a rare case of recurrent schwannoma of the ethmoid cavity involving the anterior skull base which was successfully managed with endoscopic resection. Study Design: Case report and review...

Endoscopic endonasal management of cerebrospinal fluid rhinorrhea after anterior clinoidectomy for aneurysm surgery: changing the paradigm of complication management.

Resection of the anterior clinoid process results in the creation of the clinoid space, an important surgical step in the exposure and clipping of clinoidal and supraclinoidal internal carotid artery aneurysms. Cerebrospinal fluid rhinorrhea is an undesired and potentially serious complication. Conservative measures may be unsuccesful, and there is no consensus on the most appropriate surgical ...