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ENDOSCOPIC TRANSNASAL REPAIR OF CEREBROSPINAL FLUID LEAKS IN THE AREA OF THE PARANASAL SINUSES AND CLIVUS
Author(s) -
Becker Stephen P.,
Tieu David D.,
Rosseau Gail
Publication year - 2010
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.21704
Subject(s) - medicine , paranasal sinuses , otorhinolaryngology , general hospital , general surgery , surgery
5 patients who presented with CSF leaks between the years 2002-2009 were evaluated according to the etiology of the leak. An active CSF leak was confirmed in all patients and the site identified. A repair was planned using either vascularized septal mucosal flaps or free grafts of nasal mucosa. Preparation of the graft recipient site is important. A tissue glue either Tisseal or in the later cases Duraseal held the graft in place and assisted in sealing the leak. The patients were followed for 3 to 5 years to determine if the leak was successfully sealed.