Premium
Rigid endoscopic repair of paranasal sinus cerebrospinal fluid fistulas
Author(s) -
Maggiano Holly,
Papay Francis A.,
Dominquez Steven,
Levine Howard L.,
Lavertu Pierre,
Hassenbusch Samuel J.
Publication year - 1989
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 - 10.1288/00005537-198911000-00018
Subject(s) - medicine , cerebrospinal fluid rhinorrhea , cerebrospinal fluid , surgery , sinus (botany) , endoscopy , paranasal sinuses , sphenoidal sinus , cerebrospinal fluid leak , fistula , endoscopic sinus surgery , rhinorrhea , pathology , botany , genus , biology
The advent of functional transnasal endoscopic sinus surgery has brought new opportunities in the repair of difficult cerebro‐spinal fluid leaks of the paranasal sinuses. The following four case reports illustrate the repair of cerebrospinal fluid leaks with the use of rigid transnasal endoscopy for enhanced angled visualization and illumination. A description of surgical techniques and instrumentation involving transnasal endoscopy in repair of sphenoidal and ethmoidal cerebrospinal fluid fistulas is reported. A discussion of etiology, diagnoses, and conservative versus surgical management of cerebrospinal fluid rhinorrhea is presented.