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VOLUME 4 , ISSUE 2 ( May-August, 2011 ) > List of Articles

CASE REPORT

Transnasal Endoscopic Repair of Post-traumatic Cerebrospinal Fluid Fistula and Meningoencephalocele: Successful Closure of a Big Breach (18 × 15 mm) with Septal Cartilage and Temporalis Fascia

Nishi Sonkhya, Payal Mittal, Divij Sonkhya

Keywords : CSF rhinorrhea,Meningoencephalocele,Transnasal endoscopic repair

Citation Information : Sonkhya N, Mittal P, Sonkhya D. Transnasal Endoscopic Repair of Post-traumatic Cerebrospinal Fluid Fistula and Meningoencephalocele: Successful Closure of a Big Breach (18 × 15 mm) with Septal Cartilage and Temporalis Fascia. Clin Rhinol An Int J 2011; 4 (2):101-104.

DOI: 10.5005/jp-journals-10013-1083

Published Online: 01-08-2011

Copyright Statement:  Copyright © 2011; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Transnasal endoscopic repair of cerebrospinal fluid fistula is recommended for patients with post-traumatic cerebrospinal fluid leaks who do not respond to conservative treatment. It is a safer and more successful alternative to transcranial surgery.

We present our experience of using septal cartilage and temporalis fascia in this transnasal endoscopic approach for the repair of the large defect of anterior skull base cerebrospinal fistula and meningoencephalocele. Use of microdebrider is highlighted in the technique for the debridement of the encephalocele and complete exposure of the defect.


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