A makeshift blue light filter for endoscopic identification of traumatic cerebrospinal fluid leak using fluorescein.
https://doi.org/10.32412/pjohns.v37i2.2025
- Author:
Bianca Denise E. EDORA
1
;
Ryan U. CHUA
1
;
Patrick Joseph L. ESTOLANO
1
Author Information
1. Department of Otorhinolaryngology Head and Neck Surgery Jose R. Reyes Memorial Medical Center
- Publication Type:Other Types
- Keywords:
Rhinorrhea;
Csf Leak;
Cerebrospinal Fluid Fistula;
Posterior Cranial Fossa;
Post-traumatic Cerebrospinal Fluid Leakage;
Blue Light Filter;
Endoscopic Csf Leak Repair
- MeSH:
Human;
Male;
Adult (a Person 19-44 Years Of Age);
Skull Fracture, Basilar;
Cranial Fossa, Posterior
- From:
Philippine Journal of Otolaryngology Head and Neck Surgery
2022;37(2):46-49
- CountryPhilippines
- Language:English
-
Abstract:
Objective:To describe a makeshift blue light filter for endoscopic visualization of a traumatic cerebrospinal fluid leak repair using intrathecal fluorescein and its application in one patient.
Methods:
Study Design:Surgical Instrumentation
Setting:Tertiary Government Training Hospital
Patient:One
Results:Intra-operative endoscopic identification of fistulae sites was achieved using intrathecal injection of fluorescein that fluoresced using our makeshift blue light filter in a 43-year-old man who presented with a 3-month history of rhinorrhea due to skull base fractures along with multiple facial and upper extremity fractures he sustained after a fall from a standing height of 6 feet. He underwent transnasal endoscopic repair of cerebrospinal fluid fistulae in the planum sphenoidale, clivus and sellar floor. Post-operatively, there was complete resolution of rhinorrhea with no complications noted.
Conclusion:Our makeshift blue light filter made from readily available materials may be useful for endoscopic identification of CSF leaks using fluorescein in a low- to middle-income country setting like ours.
- Full text:Makeshift Blue.pdf
