Cerebrospinal Fluid Rhinorrhea: Intranasal Approach, Review of the Literature, and Report of a Case

Dp, Vrabec; Oe, Hallberg

doi:10.1001/archotol.1964.00750040224022

Cited by 51 publications

(8 citation statements)

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“…30 Vrabec and Hallberg later applied this approach to repair of a cribriform defect. 31 While the transnasal approach avoids an external incision, visualization is more difficult, there is limited exposure of the lateral and superior sphenoid sinus, and there is risk of septal perforation.…”

Section: Transnasal Approachmentioning

confidence: 99%

Management of Anterior Skull Base Cerebrospinal Fluid Leaks

Strong

Luu

2016

J Neurol Surg B

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Section: Transnasal Approachmentioning

confidence: 99%

Management of Anterior Skull Base Cerebrospinal Fluid Leaks

Strong

Luu

2016

J Neurol Surg B

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“…In 1952, Hirsch [10] performed the first transnasal approach to close a sphenoid sinus leak. Vrabec and Hallberg [11] undertook an intranasal approach to manage cribriform plate leaks in 1964. Wigand [12], in 1981, was the first to describe the use of an endoscope in the treatment of CSF rhinorrhea incurred during FESS.…”

Section: Introductionmentioning

confidence: 99%

Endoscopic endonasal cerebrospinal fluid rhinorrhea repair: a cohort study in Iraq

Hasan

Al-Saedi

Saleh

et al. 2021

Egypt J Otolaryngol

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Background Cerebrospinal fluid (CSF) rhinorrhea is a condition where the protective fluid that surrounds the brain finds its way into the nose and sinuses, often appearing as a very watery runny nose. The main surgical approaches for the surgical repair of CSF leaks are intracranial and extracranial. Over the last decade, endoscopic surgery has established itself as the most widely used technique for the repair of CSF fistula. The current study aimed to describe the use of nasal endoscopic technique in the management of cerebrospinal fluid rhinorrhea repair. Results Results of our study showed that in addition to CSF leak, 40% of the patients had headache and 17.5% had repeated meningitis. Half of the etiologies for the CSF leak were spontaneous, 35% were congenital, and 15% were traumatic. The more frequent site of leak was left cribriform plate (37.5%). In the majority of patients, 37/40 (92.5%), the type of graft was tensor fascia lata and fat, while in the remaining 3 patients, type of graft was tensor fascia lata and bone, bone and fat, and tensor fascia lata. The repair succeeded in 35 patients giving a success rate of 87.5%. Conclusion It can be concluded that wide range of age groups from 2–62 years presented as CSF rhinorrhea with female predominance, and there was high success rate of endoscopic CSF rhinorrhea repair with low morbidity.

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“…Dohlman described in 1948 a second extracranial approach for the repair of CSF rhinorrhea through a naso‐orbital incision, and this external ethmoidectomy approach was also recommended by Chandler, who did not experience any intracranial complications requiring additional management during this surgical procedure . Later, the transnasal closure of sphenoid CSF leaks was first reported by Hirsch in 1952, and Vrabec and Hallberg described a cribriform plate leak repair using an intranasal approach by a simultaneous submucosal resection of the nasal septum for adequate . From their experience, Lehrer and Deutsch suggested the use of an operating microscope…”

Section: Introductionmentioning

confidence: 99%

The surgical treatment of cerebrospinal fistula: Qualitative and quantitative analysis of indications and results

et al. 2019

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Cerebrospinal fistula might occur in different ways. CSF closure techniques have undergone significant evolution that has led to the consolidation of the transnasal endoscopic approach. Despite the existence of multiple publications, meaningful information is still lacking in clinical practice and the literature about the ideal method, material, and timing for repair of CSF. The purpose of this review was to summarize the success rate of endoscopic CSF leak repair as well as whether specific techniques or materials influence the primary success rate through a review of the latest advancements in endoscopic CSF management published in the past 10 years. The principles of multilayer reconstructions and the routine use of vascularized flaps in expanded endonasal surgery have reduced postoperative CSF leaks' failure rates between 5% and 10% (4% in this meta-analysis). Effective endoscopic anterior skull base (ASB) closure may be achieved by multiple reconstructive techniques, which should be tailored case by case according to the patient and defect conditions.cerebrospinal fistula, endoscopic treatment, meta-analysis, systematic review, transnasal endoscopic surgery

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Cerebrospinal Fluid Rhinorrhea: Intranasal Approach, Review of the Literature, and Report of a Case

Cited by 51 publications

References 0 publications

Management of Anterior Skull Base Cerebrospinal Fluid Leaks

Management of Anterior Skull Base Cerebrospinal Fluid Leaks

Endoscopic endonasal cerebrospinal fluid rhinorrhea repair: a cohort study in Iraq

The surgical treatment of cerebrospinal fistula: Qualitative and quantitative analysis of indications and results

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