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Autologous fibrin glue in the repair of dural defects in craniofacial resections

Published online by Cambridge University Press:  29 June 2007

Abbad G. Toma*
Affiliation:
London
Edward W. Fisher
Affiliation:
London
Anthony D. Cheesman
Affiliation:
London
*
Dr A. G. Toma, M.B., B.Ch., The Royal National Throat, Nose and Ear Hospital, Gray's Inn Road, London WC1X 8DA.

Abstract

Cerebrospinal fluid leakage is a serious and well recognized complication of craniofacial resection for ethmoidal tumours in which the integrity of the dura has been breached. Autologous fibrin glue is a safe, inexpensive and simple method of improving the seal of dural repair and hence minizing CSF leakage. The principles and method of autologous fibrin glue preparation are described. The technique has proven satisfactory in 20 consecutive craniofacial resections with dural defects and is recommended as an adjunct to current techniques of dural repair.

Type
Short Communications
Copyright
Copyright © JLO (1984) Limited 1992

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References

Bartley, G. B., McCaffrey, T. V. (1990) Crioprecipitated fibrinogen (fibrin glue) in orbital surgery. American Journal of Ophthalmology, 109: 227228.CrossRefGoogle Scholar
Cheesman, A. D. (1986) Craniofacial approach to ethmoidal tumours. In: Operative Surgery. 4th edn., (Ballantyne, J. C, Harrison, D. F. N., eds.) Nose and Throat, Butterworths, London.Google Scholar
Ellis, D. A. F., Shaikh, A. (1990) The ideal tissue adhesive in facial plastic and reconstructive surgery. Journal ofOtolaryngology, 19: 6872.Google ScholarPubMed
Redl, H., Seelich, T, Guttman, J. (1979) Basic considerations and theoretical background of fibrin sealing. European Surgical Research, 11: 98.Google Scholar
Siedentop, K. H., Harris, D. M., Loewy, A. (1983) Experimental use of fibrin tissue adhesive in middle ear surgery. Laryngoscope, 93: 13101313.CrossRefGoogle ScholarPubMed
Siedentop, K. H., Harris, D. M., Sanchez, B. (1985) Autologous fibrin tissue adhesive. Laryngoscope, 95: 10741976.CrossRefGoogle ScholarPubMed
Sierra, D. H., Nissen, A. J., Welch, J. (1990) The use of fibrin glue in intracranial procedures: preliminary results. Laryngoscope, 100: 360363.CrossRefGoogle ScholarPubMed