Surgical management of cerebrospinal fluid rhinorrhea under endoscopic control

Arquivos de Neuro-Psiquiatria

José Alberto Landeiro¹  Marlo S. Flores¹  Bruno C.r. Lázaro¹  Maria Helena Melo¹ 

[1] ,Brazilian Air Force HospitalRio de Janeiro RJ ,Brazil

关键词: cerebrospinal fluid rhinorrhea;    endoscopic surgery;    fluoresceine;    fístula-liquórica nasal;    endoscopia;    fluoresceína;   

DOI  :  10.1590/S0004-282X2004000500016

来源: SciELO

【 摘 要 】

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, mucoperichondrial or mucoperiostal free grafts taken from middle or inferior turbinate and kept in place by fibrin glue. Primary closure was achieved in all patients. The repair of the CSF rhinorrhea by endonasal endoscopic surgery is safe, effective and is a valid alternative to the cranial approach.

【 授权许可】

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