Endonasal Endoscopic Closure of Cerebrospinal Fluid Rhinorrhea
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Endonasal Endoscopic Closure of Cerebrospinal Fluid Rhinorrhea
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| Id. |
16434187 |
| Idioma |
inglés
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| Titulo |
Endonasal Endoscopic Closure of Cerebrospinal Fluid Rhinorrhea |
| Autor(es) |
Schmerber, S.
Righini, Ch.
Lavielle, J.-P.
Passagia, J.-G.
Reyt, E.
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| Localización |
http://www.pubmedcentral.gov/articlerender.fcgi?artid=1656831
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| Versión |
1.0 |
| Estado |
Final
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| Descripción |
The authors review their experience with endoscopic repair of skull base defects associated with cerebrospinal fluid (CSF) rhinorrhea involving the paranasal sinuses. A total of 22 patients was treated endoscopically between 1992 and 1998. The repair method consisted of closure of the CSF fistula with a free autologous abdominal fat graft and fibrin glue, supported with a sheet of silastic. The primary closure rate was 82% (18/22), and the overall closure rate was 95.5% (21/22) without recurrence or complications within an average follow-up of 5 years (14-83 months). A single patient still complains of cerebrospinal rhinorrhea, although this was never proved by any clinical, endoscopic, or biological (?2-transferrin) examination. The repair of ethmoidal-sphenoidal cerebrospinal fluid fistulae by endonasal endoscopic surgery is an excellent technique, both safe and effective. Fat is a material of choice, as it is tight and resists infection well. The technique and indications for endoscopic management of cerebrospinal fluid leaks are discussed.
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| Palabras clave |
Original Articles
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| Tipo de recurso |
Text
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| Tipo de Interactividad |
Expositivo
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| Nivel de Interactividad |
muy bajo
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| Audiencia |
Estudiante
Profesor
Autor
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| Estructura |
Atomic |
| Coste |
no
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| Copyright |
sí
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© 2001 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. |
| Requerimientos técnicos |
Browser: Any
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| Fecha de contribución |
03-dic-2006 |
| Contacto |
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