Article Type
Original Study
Abstract
Objective : To determine the efficacy of subcranial trans-nasal repair of cerebrospinal fluid rhinorrhea with free autologous grafts by the combined overlay and underlay techniques using the surgical microscope and / or endoscope. Patients and Methods: Twenty patients with CSF rhinorrhea were included in this retrospective study. They were 13 males and 7 females. Their age ranged from 7 to 62 years (mean39.35). The etiologies of the leak were iatrogenic in 10 cases, spontaneous in 5 cases, traumatic in 4 cases and one case was associated with meningeo-encephalocele. Preop- erative nasal endoscopic examination, computed tomography (CT) with intrathecal non-ionic contrast and magnetic resonance image (MRI) were done when indicated. Endoscopic and / or microscopic repair of CSF fistula was done by a combination of both under lay and overlay repair with free autologous grafts as follows: Gelfoam with fibrin glue, strips of fat, facia lata, Gelfoam with fibrin glue (underlay), septal cartilage, Gel-foam with fibrin glue and strips of fat (overlay). Results : Complete closure of the leak was achieved in all patients. In one case of spontaneous CSF leak which was operated endoscopically,
Recommended Citation
El-Banhawy, Omar; Halaka, Ahmed; Ayad, Heshmat; and Shehab EI-Dien, Abdel-Hafiz
(2003)
"SUBCRANIAL TRANS-NASAL REPAIR OF CEREBROSPINAL FLUID RHINORRHEA WITH FREE AUTOLOGOUS GRAFTS BY THE COMBINED OVERLAY AND UNDERLAY TECHNIQUES,"
Mansoura Medical Journal: Vol. 32
:
Iss.
2
, Article 12.
Available at:
https://doi.org/10.21608/mjmu.2003.127254
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
