Open AccessNew Technique for the Endoscopic Treatment of CSF Fistulas
Author(s) -
Chaparro Morante Juan C.,
Venegas Monica Hidalgo,
La Borda Alberto Trelles Polo Y.
Publication year - 2012
Publication title -
otolaryngology–head and neck surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.232
H-Index - 121
eISSN - 1097-6817
pISSN - 0194-5998
DOI - 10.1177/0194599812451426a403
Subject(s) - medicine , surgery , fistula , craniotomy
Objective 1) Report our experience in surgical treatment for closure of CSF fistulas of different etiologies, with a new endoscopic technique without invasive surgery. 2) Improve the treatment of CSF leakage, thus avoiding craniotomy and its sequelae. Method We present 5 cases of adult patients with CSF fistula treated by endoscopic surgery from July to December 2011 using cartilage and mucoperichondrium tragal graft, resorbable thread as a guide and sterile sponge, previus revivig edges. Overlay technique was used and nasal packing was for 5 days. Endoscopic controls were carried out. Results In all surgery cases closure of the fistula was observed at 6 weeks. There were no recurrences and no reoperationes were necessary. All patients improved their symptoms without reoccurring liquorrhea. Conclusion Endoscopic closure of CSF fistulas with the technique of cartilage graft has proved a very safe method for this type of defect in the skull base as well as being reliable, secure, and free of sequelae known as craniotomies.