Treatment of frontal sinus cerebrospinai fluid rhinorrhea via combined transfrontal and intranasal endoscopic approaches
10.3760/cma.j.issn.1671-8925.2010.09.017
- VernacularTitle:经鼻内外联合径路修复额窦脑脊液鼻漏
- Author:
Qin-Tai YANG
1
;
Jin YE
;
Xian LIU
;
Ge-Hua ZHANG
;
Yuan LI
Author Information
1. 中山大学附属第三医院
- Keywords:
Frontal sinus;
Cerebrospinal fluid rhinorrhea;
Endoscopy;
Otorhinolaryngologic surgical procedure
- From:
Chinese Journal of Neuromedicine
2010;09(9):932-935
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the surgical experiences of treating the frontal sinus cerebrospinal fluid rhinorrhea (FS-CSFR) via combined transfrontal and intranasal endoscopic approaches. Methods We retrospectively analyzed the clinical data of 17 patients with FS-CSFR,received surgery in our hospital from 1996 to 2009, with emphasis on postoperative complications,clinical outcomes and key technology involved in surgery via combined transfrontal and intranasal endoscopic approaches. Results Of the 17 patients, 9 were successfully repaired after 1 surgery via combined transfrontal and intranasal endoscopic approaches; the other 8 were initially treated by endoscopic intranasal approach alone, of which 5 (62.5%) were successful and 3 failed. And then, the 3 patients subsequently underwent the surgery via combined transfrontal and intranasal endoscopic approaches and succeeded. These 12 patients with FS-CSFR, performed surgeries via combined transfrontal and intranasal endoscopic approaches were successfully repaired with quick recovery, mild complications, and no significant facial scars. Follow up was performed for 6 to 10 y and no CSFR recurrence was noted. Conclusion Surgery via combined transfrontal and intranasal endoscopic approaches offers advantages not only in overcoming the difficulty and defects of intranasal endoscopy but also in providing a few traumas and an easy approach, which helps the recovery.
