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. 2003 May;13(2):73-78.
doi: 10.1055/s-2003-820561.

Neuroendoscopic Transnasal Repair of Cerebrospinal Fluid Rhinorrhea

Mazhar Husain  1 , Deepak Jha, Devendra K Vatsal, Nuzhat Husain, Rakesh K Gupta
Affiliations

Neuroendoscopic Transnasal Repair of Cerebrospinal Fluid Rhinorrhea

Mazhar Husain et al. Skull Base. 2003 May.

Abstract

Cerebrospinal fluid (CSF) rhinorrhea is a common condition managed by most otolaryngologists with the help of nasal endoscopy (sinoscopy). In the last 2 years, we have used a neuroendoscope with a working sheath to treat nine patients with CSF rhinorrhea. One patient developed a recurrence 1 month after treatment but then responded to conservative treatment. We conclude that the treatment of CSF rhinorrhea by a neuroendoscope with a working sheath is safe, effective, and easy and obviates the need for a separate sinoscope.

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Figures

Figure 1
Figure 1
Demonstration of CSF rhinorrhea. T2–weighted coronal MRI through the anterior ethmoid shows the communication between the subarachnoid space and the nasal cavity on the right side.
Figure 2A
Figure 2A
Endoscopic view. Bulging arachnoid pouch through the defect in the anterior ethmoidal region.
Figure 2B
Figure 2B
Endoscopic view. Leaking CSF through the defect after the margin of the defect is defined and made raw by removing granulation tissue.
Figure 2C
Figure 2C
Endoscopic view. Defect plugged by a fascia lata graft.
See this image and copyright information in PMC

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