Endoscopic CSF Repair–Necessity of Fibrin Glue

Satyawati Mohindra; Sandeep Mohindra; Jagveer Yadav

doi:10.1055/s-0032-1312202

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J Neurol Surg B Skull Base 2012; 73 - A154
DOI: 10.1055/s-0032-1312202

Endoscopic CSF Repair–Necessity of Fibrin Glue

Satyawati Mohindra ¹(presenter), Sandeep Mohindra ¹, Jagveer Yadav ¹

¹Chandigarh, India

Objective: To compare the results of CSF repair with and without fibrin glue in pediatric patients of CSF rhinorrhea treated endoscopically between December 2005 and July 2010 at our center.

Methods: This was a retrospective study carried out in the departments of Otolaryngology, Head and Neck Surgery, and Neurosurgery at the Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Results: This study included 27 patients with CSF rhinorrhea divided into two groups: 13 patients underwent endoscopic endonasal CSF repair using fibrin glue (Tisseel, Baxter, Vienna, Austria) by an endoscopic rhinologist, and 14 patients underwent endonasal CSF repair without fibrin glue.

Conclusion: There was no statistically significant difference in endoscopic CSF repairs with or without fibrin glue (P = .48). CSF repair without fibrin glue is more cost effective compared with repair with glue.