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Endoscopic endonasal management of cerebrospinal fluid rhinorrhea after anterior clinoidectomy for aneurysm surgery: changing the paradigm of complication management.
Beer-Furlan, Andre; Balsalobre, Leonardo; Vellutini, Eduardo de Arnaldo Silva; Stamm, Aldo Cassol; Pahl, Felix Hendrik; Gentil, Andre Felix.
Afiliação
  • Beer-Furlan A; Centro de Base de Crânio de São Paulo, São Paulo SP, Brasil;
  • Balsalobre L; DFVneuro, São Paulo SP, Brasil;
  • Vellutini Ede A; Centro de Base de Crânio de São Paulo, São Paulo SP, Brasil;
  • Stamm AC; DFVneuro, São Paulo SP, Brasil;
  • Pahl FH; Hospital Professor Edmundo Vasconcelos, Centro de Otorrino e Fonoaudiologia, São Paulo SP, Brasil;
  • Gentil AF; Centro de Base de Crânio de São Paulo, São Paulo SP, Brasil;
Arq Neuropsiquiatr ; 74(7): 580-6, 2016 Jul.
Article em En | MEDLINE | ID: mdl-27487379
ABSTRACT
Resection of the anterior clinoid process results in the creation of the clinoid space, an important surgical step in the exposure and clipping of clinoidal and supraclinoidal internal carotid artery aneurysms. Cerebrospinal fluid rhinorrhea is an undesired and potentially serious complication. Conservative measures may be unsuccesful, and there is no consensus on the most appropriate surgical treatment. Two patients with persistent transclinoidal CSF rhinorrhea after aneurysm surgery were successfully treated with a combined endoscopic transnasal/transeptal binostril approach using a fat graft and ipsilateral mucosal nasal septal flap. Anatomical considerations and details of the surgical technique employed are discussed, and a management plan is proposed.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doenças das Artérias Carótidas / Aneurisma Intracraniano / Rinorreia de Líquido Cefalorraquidiano / Craniotomia / Cirurgia Endoscópica Transanal / Aneurisma Limite: Adult / Female / Humans / Middle aged Idioma: En Ano de publicação: 2016 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doenças das Artérias Carótidas / Aneurisma Intracraniano / Rinorreia de Líquido Cefalorraquidiano / Craniotomia / Cirurgia Endoscópica Transanal / Aneurisma Limite: Adult / Female / Humans / Middle aged Idioma: En Ano de publicação: 2016 Tipo de documento: Article