International Journal of Surgery and Surgical Research

International Journal of Surgery and Surgical Research


International Journal of Surgery and Surgical Research
International Journal of Surgery and Surgical Research
2019, Vol. 1, Issue 1
Endoscopic management of CSF rhinorrhea: Is it a successful technique

Ahmed Gaber Hassanein MD, Mostafa Eltaher MD, Khalid Nasser Fadle MD

Endoscopic management of CSF rhinorrhea provides accurate repair and least morbidity. In this study, free tissue grafts in two layers were used for closure of skull base defect. The study included 8 cases: Four spontaneous CSF leakage, three iatrogenic trauma and one accidental trauma. Seven patients had repair using double layers of graft material while one patient had one overlay mucoperiosteal graft. Underlay grafts were septal cartilage in four cases and ear lobule fibro-fat in three cases. In one case we could not use underlay graft. On lay grafts were fascia lata in one case, nasal septal mucopericondrium in one case and lateral nasal wall mucoperiosteum in 6 cases. Follow-up revealed complete cure. Endonasal endoscopic repair of CSF rhinorrhea was a successful technique, with a low failure rate and minimal morbidity for both traumatic and spontaneous CSF leaks. Two-layer reconstruction of skull base defects could cure majority of leaks.
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How to cite this article:
Ahmed Gaber Hassanein MD, Mostafa Eltaher MD, Khalid Nasser Fadle MD. Endoscopic management of CSF rhinorrhea: Is it a successful technique. International Journal of Surgery and Surgical Research, Volume 1, Issue 1, 2019, Pages 07-10
International Journal of Surgery and Surgical Research