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
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.
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.
Endoscopic reconstruction of anterior skull base in cerebrospinal rhinorrhea. Otolaryngol Pol 2003;57(1):75-79.
Transnasal endoscopic repair of cerebrospinal fluid fistulas and encephaloceles: Surgical indications and complications. Minimal Invasive Neurosurgery June 2005;48(3):175-81.
Endoscopic treatment of cerebral rhinorrhoea. Otoaryngol Pol 2007;61(1):69-73.
An effective and less invasive treatment of post- traumatic cerebrospinal fluid fistula: Closed lumber drainage system. Minimal Invasive Neurosurgery June 2008;51(3): 154-57.
Endoscopic repair of CSF rhinorrhoea: Manipal experience. Indian Jr Otolaryngol Head Neck Surgery March 2009; 61:14-18.
Kennedy-endoscopic management of CSF leaks and cephalocoeles. The Laryngoscope August 1990;100:857-62.
Transnasal endoscopic closure of CSF leaks. The Laryngoscope Jan 2003;113:136-38.
Intranasal surgery for cerebrospinal fluid rhinorrhoea. Mt Sinai J Med (NY) 1970;37:133-38.
Nasal CSF leaks: Critical review and surgical considerations. The Laryngoscope Feb 2004;114:255-65.
Endoscopic management of cerebrospinal fluid leaks and cephalocoeles; Chapter 26, 335-340. Diseases of the sinuses, diagnosis & management by Kennedy, David W Bolger, William E Zinreich S. James 2001, BC Decker Inc. Hamilton, London. John Scott and Company.
Transnasal endoscopic repair of cerebrospinal fluid rhinorrhoea and skull base defect: 10-year experience. Laryngoscope Aug 2004;114(8):1475-81.