JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2016, Vol. 30 ›› Issue (6): 37-41.doi: 10.6040/j.issn.1673-3770.0.2016.377

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Transnasal endoscopic repair of cerebrospinal fluid rhinorrhea: a clinical analysis of 16 cases.

WANG Junmin1,2*, CHEN Haibing1*, CHEN Xi1, LU Meiping1, CHEN Zhibin1, CHENG Lei1   

  1. Department of Otorhinolaryngology, 1.The First Affiliated Hospital, Nanjing Medical University, Nanjing 210029, Jiangsu, China;2. Suqian Zhongwu Hospital, Suqian 223800, Jiangsu, China
  • Received:2016-08-28 Online:2016-12-16 Published:2016-12-16

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Abstract: Objective To evaluate the surgical technique and clinical effects of transnasal endoscopic repair of cerebrospinal fluid(CSF)rhinorrhea. Methods From 2010 to 2015, sixteen patients with CSF rhinorrhea were treated with transnasal endoscopic surgery, including 5 patients with traumatic CSF rhinorrhea, 6 patients with spontaneous CSF rhinorrhea, and 5 patients with iatrogenic CSF rhinorrhea. The temporalis muscle, temporalis fascial, middle turbinate mucosa and bone, nasal septum mucosa, inferior turbinate mucosa, fascia lata, abdominal fat, and uncinate process mucosa were used for repairing the CSF fistulae. Results Fifteen patients were successfully repaired after the first operation, and 1 after the second attempt. No serious complications were observed during and after the operation. Conclusion Transnasal endoscopic repair of CSF rhinorrhea is a safe, effective, minimally invasive, and high successful surgical procedure. Accurate leakage site identification before the operation, suitable surgical approach and repairing materials are critical to achieving successful result.

Key words: Minimally invasive surgical procedures, Paranasal sinuses, Anterior cranial fossa, Endoscopic sinus surgery, Cerebrospinal fluid rhinorrhea

CLC Number: 

  • R765.24
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