Endoscopic repair of supraorbital ethmoid cerebrospinal fluid leaks.
ORL J Otorhinolaryngol Relat Spec
; 71(2): 93-8, 2009.
Article
en En
| MEDLINE
| ID: mdl-19153530
ABSTRACT
OBJECTIVE:
To examine the clinical and anatomical characteristics of patients with supraorbital ethmoid (SOE) cerebrospinal fluid (CSF) leaks and encephaloceles and identify specific considerations unique to their management.METHODS:
Retrospective review of patients who underwent repair of SOE CSF leaks at our institution from 2003 to 2007.RESULTS:
The majority of patients were women (5/8), middle-aged (mean 54.9 years) and had a high body mass index (mean 42.3). Intracranial pressures (ICPs) were elevated in 6/8 patients. Anatomically, 6/8 patients had defects medial to the medial orbital wall (MOW; mean distance 4.15 mm) and 2/8 had defects lateral to the MOW (mean distance 8.14 mm). Seven out of 8 were successfully repaired endoscopically, and 1 patient with a lateral defect required an adjunctive trephination.CONCLUSIONS:
Patients with spontaneous SOE CSF leaks have unique clinical characteristics that include obesity and elevated ICP. Extension of a skull base defect lateral to the MOW and a narrow anterior-posterior diameter of the frontal recess are technical obstacles to endoscopic repair and may necessitate an adjunctive external approach.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Enfermedades Orbitales
/
Rinorrea de Líquido Cefalorraquídeo
/
Encefalocele
/
Endoscopía
/
Senos Etmoidales
Tipo de estudio:
Prognostic_studies
Límite:
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
ORL J Otorhinolaryngol Relat Spec
Año:
2009
Tipo del documento:
Article
País de afiliación:
Estados Unidos