scholarly journals The Key Methods to Increase the Success Rate of Endoscopic Repair of Cerebrospinal Fluid Rhinorrhea

2019 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Matin Ghazizadeh ◽  
Golfam Mehrparvar
2001 ◽  
Vol 15 (5) ◽  
pp. 333-342 ◽  
Author(s):  
Paolo Castelnuovo ◽  
Silvia Mauri ◽  
Davide Locatelli ◽  
Enzo Emanuelli ◽  
Giovanni Delù ◽  
...  

Endoscopic repair of cerebrospinal fluid (CSF) rhinorrhea is becoming a common procedure. The purpose of this study was to perform a literature analysis centering cases of treatment failure and to review our 31 cases with a 1-year minimum follow-up. An extensive search of the literature was conducted, which focused on success rate, follow-up, diagnostic techniques, graft material used, failure rate, and comments on failures. A retrospective analysis of our 31 patients was carried out, and all cases were treated with the endoscopic approach with a 1-year minimum follow-up. From the literature analysis, the median success rate at the first endoscopic attempt is 90%. Our success rate was 87.1%. Failures were analyzed. A unique protocol for CSF leak diagnosis does not exist; we suggest our diagnostic algorithm. Graft material used depends on the authors’ experience, and based on this review of cases to date, did not significantly influence the success rate. The analysis of cases of failure shows that the majority of authors omit details. More research is needed to improve prevention of failures.


2014 ◽  
Vol 7 (2) ◽  
pp. 47-51 ◽  
Author(s):  
Mohnish Grover ◽  
Pawan Singhal ◽  
Shashank Nath Singh ◽  
Man Prakash Sharma ◽  
Avani Jain

ABSTRACT Cerebrospinal fluid rhinorrhea results from a breakdown of barriers between the subarachnoid space and aerodigestive tract. Because of the risk of potential intracranial complications, all persistent cerebrospinal fluid (CSF) leaks should be repaired. Over the past few decades, with the advances in endoscopic techniques, the surgical management of CSF rhinorrhea has changed significantly. CSF leak repair has advanced from the conventional open intracranial approaches by neurosurgeons to the transnasal endoscopic ones by otorhinolaryngologists. In this study, 35 patients with CSF leaks underwent endoscopic repair with a 94.3% first attempt success rate, and 100% overall success rate. There were no major intraoperative or postoperative complications. To conclude, the endoscopic approach has a high success rate with minimal morbidity and has therefore, become the preferred method. How to cite this article Jain A, Singhal P, Sharma MP, Singh SN, Grover M. Transnasal Endoscopic Cerebrospinal Fluid Rhinorrhea Repair: Our Experience of 35 Cases. Clin Rhinol An Int J 2014;7(2):47-51.


2021 ◽  
Vol 23 ◽  
pp. 101032
Author(s):  
Mohamed Mahmoud Okasha ◽  
Ahmed Aly Ibrahim ◽  
Henry Schroeder ◽  
Mohamed El-Rahmani ◽  
Ayman El-Medani ◽  
...  

2011 ◽  
Vol 51 (3) ◽  
pp. 222-225 ◽  
Author(s):  
Mika KOMATSU ◽  
Fuminari KOMATSU ◽  
Luigi M. CAVALLO ◽  
Domenico SOLARI ◽  
Vita STAGNO ◽  
...  

2016 ◽  
Vol 6 (11) ◽  
pp. 1126-1130 ◽  
Author(s):  
Austin S. Adams ◽  
David O. Francis ◽  
Paul T. Russell

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