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Volume 7, Issue 6, December 2019, Page: 198-201
Transsphenoidal Endoscopic Approach in Treatment of Spontaneous Nasal CSF-leak
Sergei Karpishchenko, Department of Otorhinolaringology, Pavlov First Saint Petersburg State Medical University, St. Petersburg, Russia
Vladislav Cherebillo, Department of Neurosurgery, Pavlov First Saint Petersburg State Medical University, St. Petersburg, Russia
Olga Vereshchagina, Department of Otorhinolaringology, Pavlov First Saint Petersburg State Medical University, St. Petersburg, Russia
Nikita Puzakov, Department of Neurosurgery, Pavlov First Saint Petersburg State Medical University, St. Petersburg, Russia
Olga Stancheva, Department of Otorhinolaringology, Pavlov First Saint Petersburg State Medical University, St. Petersburg, Russia
Received: Nov. 13, 2019;       Accepted: Dec. 11, 2019;       Published: Dec. 23, 2019
DOI: 10.11648/j.js.20190706.19      View  307      Downloads  130
Abstract
Spontaneous nasal liquorrhea is a pathological condition associated with defects between the nasal cavity and the intracranial structures, which results in CSF leak from the nasal cavity. Diagnostic criteria include: anamnesis, examination of the nasal fluid, endoscopic examination of the nasal cavity, and CT - and MRI - cisternography. Conservative therapy is applicable to small fistulas. In the case of the inefficiency of this method, surgical method is then applied to the defect closure. Purpose of the study: To evaluate the effectiveness of endoscopic endonasal approach in the CSF leak treatment. Materials and methods: For the period from 2008 to 2018 at the Pavlov First Saint Petersburg State Medical University, at the clinic of neurosurgery of the Kirov Medical Institute and the Medical Research Center Almazov, 38 patients with spontaneous nasal liquorrhea were treated. All patients underwent plastic surgery of the CSF fistula by endoscopic endonasal approach. Results: In 4 cases, there was a large defect requiring secondary surgical intervention 1-2 weeks after the initial operation. Conclusions: The use of auto tissues (muscle or fat) is the method of choice for repeated surgical plastics of the cerebrospinal fluid fistula or in the case of a large size defect.
Keywords
Nasal Liquorrhea, Skull Base, Autograph
To cite this article
Sergei Karpishchenko, Vladislav Cherebillo, Olga Vereshchagina, Nikita Puzakov, Olga Stancheva, Transsphenoidal Endoscopic Approach in Treatment of Spontaneous Nasal CSF-leak, Journal of Surgery. Vol. 7, No. 6, 2019, pp. 198-201. doi: 10.11648/j.js.20190706.19
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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