Transnasal Endoscopic Repair of Post-traumatic Cerebrospinal Fluid Fistula and Meningoencephalocele: Successful Closure of a Big Breach (18 × 15 mm) with Septal Cartilage and Temporalis Fascia

JOURNAL TITLE: An International Journal Clinical Rhinology

Author
1. Nishi Sonkhya
2. Payal Mittal
3. Divij Sonkhya
ISSN
0974-4630
DOI
10.5005/jp-journals-10013-1083
Volume
4
Issue
2
Publishing Year
2011
Pages
4
Author Affiliations
    1. Department of ENT, SMS Medical College and Hospital, Jaipur, Rajasthan, India
    1. Department of ENT, SMS Medical College and Hospital, Jaipur, Rajasthan, India
    1. Department of ENT, NKP Salve Institute and Lata Mangeshker Hospital, Nagpur, Maharashtra, India
  • Article keywords
    CSF rhinorrhea, Meningoencephalocele, Transnasal endoscopic repair

    Abstract

    Transnasal endoscopic repair of cerebrospinal fluid fistula is recommended for patients with post-traumatic cerebrospinal fluid leaks who do not respond to conservative treatment. It is a safer and more successful alternative to transcranial surgery.

    We present our experience of using septal cartilage and temporalis fascia in this transnasal endoscopic approach for the repair of the large defect of anterior skull base cerebrospinal fistula and meningoencephalocele. Use of microdebrider is highlighted in the technique for the debridement of the encephalocele and complete exposure of the defect.

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