Endoscopic transnasal approach for repairing anterior skull base cerebrospinal fluid rhinorrhea and meningoencephalocele: preliminary experience of using fat bath-plug technique / 临床耳鼻咽喉头颈外科杂志
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
; (24): 832-835, 2013.
Article
in Zh
| WPRIM
| ID: wpr-749236
Responsible library:
WPRO
ABSTRACT
OBJECTIVE@#To summary the preliminary experience of fat bath-plug technique in endoscopic transnasal approach for repairing anterior skull base cerebrospinal fluid rhinorrhea (CSF) and meningoencephalocele.@*METHOD@#Using fat bath-plug technique repair 1 case meningoencephalocele (traumatic) and 5 cases cerebrospinal fluid rhinorrhea (1 traumatic, 4 spontaneous). The analysis index included: preoperative localization, intraoperative position, surgical procedures, perioperative symptoms, follow-up. etc.@*RESULT@#CT and MRI techniques were used for location of the fistula preoperative. The location of the fistulas were exploration during the operation and were consist with the imaging studies. All 6 fistulas were repaired during the first operation. No fever and no intracranial infection occurred postoperatively. All the patients discharged 7 days postoperatively with an iodoform nasal packing. Three to 4 weeks later the patients were reviewed to clean up the nasal cavity. All patients were recovered well with good epithelial mucosa in the 3 and 6 months endoscopic follow-ups. No CSF leak and intracranial infection happened in the 3-year telephone follow-up.@*CONCLUSION@#The fat bath-plug technique in endoscopic transnasal approach for repairing anterior skull base small fistula, especially in cribriform ethmoid roof, is effective, safe and simple.
Full text:
1
Index:
WPRIM
Main subject:
General Surgery
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Adipose Tissue
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Cerebrospinal Fluid Rhinorrhea
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Skull Base
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Endoscopy
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Nasal Cavity
Limits:
Adult
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Female
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Humans
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Male
Language:
Zh
Journal:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
Year:
2013
Type:
Article