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BMC Research Notes

, 5:459

First Online: 27 August 2012Received: 10 November 2011Accepted: 23 August 2012DOI: 10.1186-1756-0500-5-459

Cite this article as: Martín-Martín, C., Martínez-Capoccioni, G., Serramito-García, R. et al. BMC Res Notes 2012 5: 459. doi:10.1186-1756-0500-5-459

Abstract

BackgroundCerebrospinal fluid leaks CSF result from an abnormal communication between the subarachnoid space and the extracranial space. Approximately 90% of CSF leak at the anterior skull base manifests as rhinorrhea and can become life-threatening condition. Endoscopic sinus surgery ESS has become a common otolaryngologist procedure. The aim of this article is to consider our experience and to evaluate the outcomes in patients who underwent a purely endoscopic repair of CSF leaks of the anterior skull base.

FindingsRetrospective chart review was performed of all patients surgically treated for CSF leaks presenting to the Section of Nasal and Sinus Disorders at the Service of ENT–Head and Neck Surgery, University Hospital Complex of Santiago de Compostela CHUS, between 2004 and 2010. A total of 30 patients who underwent repair CSF leak by ESS. The success rate was 93.4% at the first attempt; only two patients 6.6% required a second surgical procedure, and none of it was necessary to use a craniotomy for closure. Follow-up periods ranged from 4 months to 6 years.

ConclusionIdentifying the size, site, and etiology of the CSF leak remains the most important factor in the surgical success. It is generally accepted that the ESS have made procedures minimally invasive, and CSF leak is now one of its well-established indications with low morbidity and high success rate, with one restriction for fistulas of the posterior wall of the frontal sinus should be repaired in conjunction with open techniques.

KeywordsCerebrospinal fluid leak Endoscopic sinus surgery Anterior skull base Bone defect Bacterial meningitis Electronic supplementary materialThe online version of this article doi:10.1186-1756-0500-5-459 contains supplementary material, which is available to authorized users.

Carlos Martín-Martín, Gabriel Martínez-Capoccioni, Ramón Serramito-García and Federico Espinosa-Restrepo contributed equally to this work.

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Autor: Carlos Martín-Martín - Gabriel Martínez-Capoccioni - Ramón Serramito-García - Federico Espinosa-Restrepo

Fuente: https://link.springer.com/







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