Skull Base 2003; 13(2): 073-078
DOI: 10.1055/s-2003-40596
ORIGINAL ARTICLE

Copyright © 2003 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Neuroendoscopic Transnasal Repair of Cerebrospinal Fluid Rhinorrhea

Mazhar Husain1 , Deepak Jha1 , Devendra K. Vatsal1 , Nuzhat Husain2 , Rakesh K. Gupta3
  • 1Department of Neurosurgery, King George's Medical College Luchnow, India
  • 2Department of Pathology, King George's Medical College, Luchnow, India
  • 3Department of Radiology, Sanjay Gandhi Post-Graduate Institute of Medical Sciences, Luchnow, India
Further Information

Publication History

Publication Date:
19 May 2004 (online)

ABSTRACT

Cerebrospinal fluid (CSF) rhinorrhea is a common condition managed by most otolaryngologists with the help of nasal endoscopy (sinoscopy). In the last 2 years, we have used a neuroendoscope with a working sheath to treat nine patients with CSF rhinorrhea. One patient developed a recurrence 1 month after treatment but then responded to conservative treatment. We conclude that the treatment of CSF rhinorrhea by a neuroendoscope with a working sheath is safe, effective, and easy and obviates the need for a separate sinoscope.

REFERENCES

  • 1 Hao S P. Transnasal endoscopic repair of cerebrospinal fluid rhinorrhoea: an interposition technique.  Laryngoscope . 1996;  106 501-503
  • 2 Ommaya A K, Di Chiro G, Baldwin M, Pennybacker J B. Nontraumatic cerebrospinal fluid rhinorrhoea.  J Neurol Neurosurg Psychiatry . 1968;  31 214-225
  • 3 Spetzler R F, Wilson C B. Management of recurrent CSF rhinorrhoea of the middle and posterior fossa.  J Neurosurg . 1978;  49 393-397
  • 4 Westmore G A, Whittam E D. Cerebrospinal fluid rhinorrhoea and its management.  Br J Surg . 1982;  69 489-492
  • 5 Ray B S, Bergland R M. Cerebrospinal fluid fistula: clinical aspects, techniques of localization and methods of closure.  J Neurosurg . 1967;  30 399-405
  • 6 Calcaterra T C. Extracranial surgical repair of cerebrospinal fluid rhinorrhoea.  Ann Otol Rhinol Laryngol . 1980;  89 108-116
  • 7 Park J I, Strelzow V V, Friedman W H. Current management of cerebrospinal fluid rhinorrhoea.  Laryngoscope . 1983;  93 1294-1300
  • 8 Yessenow R S, McCabe B F. The osteo-cutaneous flap in repair of cerebrospinal fluid rhinorrhoea: a 20-year experience.  Otolaryngol Head Neck Surg . 1989;  101 555-558
  • 9 Zeitouni A G, Frenkiel S, Mohr. Endoscopic repair of anterior skull base cerebrospinal fluid fistulas: an emphasis on postoperative nasal function maximization.  J Otolaryngol . 1994;  23 225-227
  • 10 Wigand W E. Transnasal ethmoidectomy under endoscopic control.  Rhinology . 1981;  19 7-15
  • 11 Mattox D E, Kennedy D W. Endoscopic management of cerebrospinal fluid leaks and cephaloceles.  Laryngoscope . 1990;  100 857-862
  • 12 Dodson E E, Gross C W, Swerdloff J L, Gustafson L M. Transnasal endoscopic repair of cerebrospinal fluid rhinorrhoea and skull base defect: a review of twenty-nine cases.  Otolaryngol Head Neck Surg . 1994;  111 600-605
  • 13 Stankiewicz J A. Cerebrospinal fluid fistula and endoscopic sinus surgery.  Laryngoscope . 1991;  101 250-256
  • 14 Ommaya A K. Spinal fluid fistulae.  Clin Neurosurg . 1976;  23 363-392
  • 15 Hirsch O. Successful closure of cerebrospinal fluid rhinorrhoea by endonasal surgery.  Arch Otolaryngol . 1952;  56 1-13
  • 16 McCormack B, Cooper P R, Persky M, Rothstein S. Extracranial repair of cerebrospinal fluid fistulas: technique and results in 37 patients.  Neurosurgery . 1990;  27 412-417
  • 17 Aarabi B, Leibrock L G. Neurosurgical approaches to cerebrospinal fluid rhinorrhoea.  Ear Nose Throat J . 1992;  71 300-305
  • 18 Hubbard J L, McDonald T J, Pearson B W, Laws E R. Spontaneous cerebrospinal fluid rhinorrhoea: evolving concepts in diagnosis and surgical management based on the Mayo Clinic experience from 1970 through 1981.  Neurosurgery . 1985;  16 314-321
  • 19 Briant T DR, Snell E. Diagnosis of cerebrospinal rhinorrhoea and the rhinologic approach to its repair.  Laryngoscope . 1976;  77 1390-1409
  • 20 McCabe B F. The osteo-mucoperiosteal flap in repair of cerebrospinal fluid rhinorrhoea.  Laryngoscope . 1976;  86 537-539
  • 21 Montgomery W W. Surgery of cerebrospinal fluid rhinorrhoea and otorrhoea.  Arch Otolaryngol . 1966;  84 92-104
  • 22 Schaefer S D, Manning S, Close L G. Endoscopic paranasal sinus surgery: indications and considerations.  Laryngoscope . 1989;  99 1-5
  • 23 Strauss H. Fluorescein als indikator fuer die Nierenfunktion.  Klin Wochenschr . 1913;  50 2226-2227
  • 24 Fox N. Cure in a case of cerebrospinal rhinorrhoea.  Arch Otolarynogol Head Neck Surg . 1933;  17 85-86
  • 25 Mahaley M S, Odom G L. Complications following intracranial injections of fluorescein.  J Neurosurg . 1966;  25 298-299
  • 26 Bibas A G, Skia B, Hickey S A. Transnasal endoscopic repair of cerebrospinal fluid rhinorrhoea.  Br J Neurosurg . 2000;  14 49-52
  • 27 Lanza D C, O'Brien D A, Kennedy D W. Endoscopic repair of cerebrospinal fluid fistulae and encephaloceles.  Laryngoscope . 1996;  106 1119-1125
  • 28 Roberts G A, Foy P M, Bolger C. Idiopathic spontaneous cerebrospinal fluid rhinorrhoea and pneumocephalus: case report and literature review.  Br J Neurosurg . 1996;  10 513-517
  • 29 Shaffrey C I, Spotnitz W D, Shaffrey N E, Jane J A. Neurosurgical applications of fibrin glue: augmentation of dural closure in 134 patients.  Neurosurgery . 1990;  26 207-210
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