Clinical Rhinology

Register      Login

VOLUME 14 , ISSUE 1--3 ( January-December, 2023 ) > List of Articles

CASE REPORT

Endoscopic Endonasal Orbital Transposition, for Closure of Lateral Frontal Sinus CSF Rhinorrhea: A Case Report

Veerasigamani Narendrakumar, Vinod Felix

Keywords : Case report, Cerebrospinal fluid rhinorrhea, Endonasal, Endoscopic, Frontal sinus, Orbital transposition

Citation Information : Narendrakumar V, Felix V. Endoscopic Endonasal Orbital Transposition, for Closure of Lateral Frontal Sinus CSF Rhinorrhea: A Case Report. Clin Rhinol An Int J 2023; 14 (1--3):15-19.

DOI: 10.5005/jp-journals-10013-1391

License: CC BY-NC 4.0

Published Online: 21-03-2024

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Cerebrospinal fluid (CSF) rhinorrhea is due to communication between the subarachnoid space and the sinonasal cavity. Cerebrospinal fluid rhinorrhea is treated with immense care to avoid serious complications which can cause high mortality. Various techniques are available for CSF rhinorrhea in which the endoscopic endonasal approach is used widely as it has less morbidity. Treating CSF rhinorrhea in far lateral frontal sinus leaks is a challenging task endoscopically, which can be done with orbital transposition. We report a series of 3 cases of lateral frontal sinus CSF rhinorrhea and they are successfully treated by endoscopic endonasal with orbital transposition.


PDF Share
  1. Gupta M, Gupta M, Bindra G, et al. Idiopathic sphenoid sinus CSF rhinorrhoea. BMJ Case Rep 2013;2013:bcr2013009416. DOI: 10.1136/bcr-2013-009416.
  2. Jahanshahi J, Zeinalizadeh M, Reza Mohammadi H, et al. Endonasal endoscopic management of frontal sinus cerebrospinal fluid leak. Am J Rhinol Allergy 2017;31(6):406–411. DOI: 10.2500/ajra.2017.31.4478.
  3. Zweig JL, Carrau RL, Celin SE, et al. Endoscopic repair of cerebrospinal fluid leaks to the sinonasal tract: Predictors of success. Otolaryngol Head Neck Surg 2000;123(3):195–201. DOI: 10.1067/mhn.2000.107452.
  4. Banks CA, Palmer JN, Chiu AG, et al. Endoscopic closure of CSF rhinorrhea: 193 cases over 21 years. Otolaryngol Head Neck Surg 2009;140(6):826–833. DOI: 10.1016/j.otohns.2008.12.060.
  5. Mishra SK, Mathew GA, Paul RR, et al. Endoscopic repair of CSF rhinorrhea: An institutional experience. Iran J Otorhinolaryngol 2016;28(84):39–43. PMID: 26878002.
  6. Le C, Strong EB, Luu Q. Management of anterior skull base cerebrospinal fluid leaks. J Neurol Surg B Skull Base 2016;77(5): 404–411. DOI: 10.1055/s-0036-1584229.
  7. Kong DS, Young SM, Hong CK, et al. Clinical and ophthalmological outcome of endoscopic transorbital surgery for cranioorbital tumors. J Neurosurg 2018;131(3):1–9. DOI: 10.3171/2018.3.JNS173233.
  8. Karligkiotis A, Pistochini A, Turri-Zanoni M, et al. Endoscopic endonasal orbital transposition to expand the frontal sinus approaches. Am J Rhinol Allergy 2015;29(6):449–456. DOI: 10.2500/ajra.2015.29.4230.
  9. Timperley DG, Banks C, Robinson D, et al. Lateral frontal sinus. Access in endoscopic skull-base surgery. Int Forum Allergy Rhinol 2011;1(4):290–295. DOI: 10.1002/alr.20042.
  10. Karligkiotis A, Appiani MC, Verillaud B, et al. How to prevent diplopia in endoscopic transnasal resection of tumors involving the medial orbital wall. Laryngoscope 2014;124(9):2017–2020. DOI: 10.1002/lary.24657.
  11. Hadad G, Bassagasteguy L, Carrau RL, et al. A novel reconstructive technique after endoscopic expanded endonasal approaches: Vascular pedicle nasoseptal flap. Laryngoscope 2006;116(10): 1882–1886. DOI: 10.1097/01.mlg.0000234933.37779.e4.
  12. Nyquist GG, Anand VK, Singh A, et al. Schwartz. Janus flap: Bilateral nasoseptal flaps for anterior skull base reconstruction. Otolaryngol Head Neck Surgery 2010;142(3):327–331. DOI: 10.1016/j.otohns.2009.12.020.
  13. AlQahtani AA, Albathi AA, Alhammad OM, et al. Innovative real CSF leak simulation model for rhinology training: Human cadaveric design. Eur Arch Otorhinolaryngol 2018;275(4):937–941. DOI: 10.1007/s00405-018-4902-y.
  14. Turri-Zanoni M, Dallan I, Terranova P, et al. Frontoethmoidal and intraorbital osteomas: Exploring the limits of the endoscopic approach. Arch Otolaryngol Head Neck Surg 2012;138(5):498–504. DOI: 10.1001/archoto.2012.644.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.