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Extracranial Repair of Cerebrospinal Fluid Rhinorrhea

Published online by Cambridge University Press:  18 September 2015

Ian B. Ross ,
Austin R.T. Colohan  and
Martin J. Black
Ian B. Ross
Affiliation:
Departments of Neurology and Neurosurgery, Sir Mortimer B. Davis - Jewish General Hospital, McGill University, Montreal
Austin R.T. Colohan*
Affiliation:
Departments of Neurology and Neurosurgery, Sir Mortimer B. Davis - Jewish General Hospital, McGill University, Montreal
Martin J. Black
Affiliation:
Department of Otolaryngology, Sir Mortimer B. Davis - Jewish General Hospital, McGill University, Montreal
*
The Emory Clinic, Division of Neurosurgery, 1365 Clifton Road, N.E., Atlanta, Georgia 30322 U.S.A.
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Abstract:

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There has been a recent renewal of interest in the extracranial repair of cerebrospinal fluid rhinorrhea because of the relatively high morbidity associated with the transcranial approach. The authors describe an extracranial approach that involves packing of the sphenoid and ethmoid sinuses on the side of the CSF leak. A case of successful treatment of CSF rhinorrhea by this method is presented. The extracranial approach may be advantageous for the repair of CSF rhinorrhea and the authors advocate an increase in its utilization by neurosurgeons and otolaryngologists working as a team.

Résumé:

RÉSUMÉ:

Il y a eu récemment un regain d'intérêt pour la cure extracrânienne de la rhinorrhée cérébrospinale à cause de la morbidité relativement élevée associée à l'approche transcrânienne. Les auteurs décrivent une approche extracrânienne qui implique le tamponnement des sinus sphénoïde et ethmoïde du côte de la fuite. Un cas de rhinorrhée cérébrospinale traité avec succès par cette méthode est présenté. L'approche extracrânienne peut être avantageuse pour la cure de la rhinorrhée cérébrospinale et les auteurs recommandent qu'elle soit pratiquée par une équipe formée d'un neurochirurgien et d'un otorhinolaryngologiste.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 17 , Issue 3 , August 1990 , pp. 320 - 323
Copyright
Copyright © Canadian Neurological Sciences Federation 1990

References

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