Endoscopic nasoseptal flap repair of skull base defects: is addition of a dural sealant necessary?

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
Jean Anderson EloyJames K Liu

Abstract

We compared the incidence of postoperative cerebrospinal fluid (CSF) leaks in patients undergoing endoscopic skull base repair with a pedicled nasoseptal flap (PNSF) with or without the addition of a dural sealant. Retrospective analysis at a tertiary care medical center. A retrospective analysis was performed at our tertiary care medical center on patients who underwent endoscopic repair of high-flow CSF leaks using a PNSF between December 2008 and August 2011. Repair materials, incidence of postoperative CSF leaks, and demographic data were collected. Thirty-two high-flow CSF leaks were repaired with a PNSF alone without dural sealant (group A), and 42 were repaired with a PNSF with the addition of a dural sealant (group B). In group A, there were no postoperative CSF leaks (0%), whereas in group B, there was 1 delayed postoperative CSF leak, resulting in a 2.4% leak rate. The incidence of postoperative CSF leakage was not significantly different between the 2 groups (P = .38). The overall postoperative CSF leak rate was 1.4%. The use of dural sealants when performing endoscopic PNSF repair of high-flow CSF leaks is not supported by our data. In addition, this practice may significantly increase surgical cost. We encountered ...Continue Reading

References

Sep 1, 1996·The Laryngoscope·D C LanzaD W Kennedy
Jul 29, 2003·American Journal of Otolaryngology·David R WhiteBrent A Senior
Aug 2, 2007·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Jean Anderson EloyMichael R Shohet
Nov 15, 2007·American Journal of Rhinology·Ross M GermaniRoy R Casiano
Jun 27, 2008·Neurosurgery·Theodore H SchwartzVijay K Anand
Aug 30, 2008·Neurosurgery·Paul A GardnerDaniel M Prevedello
Oct 4, 2008·Journal of Neurosurgery. Pediatrics·Hilal A KanaanAmin B Kassam
Feb 5, 2009·Neurosurgery·Martina StipplerAmin B Kassam
Feb 21, 2009·Acta neurochirurgica·J C Fernandez-MirandaA B Kassam
Apr 22, 2009·American Journal of Rhinology & Allergy·Adam FolbeJacques J Morcos
Oct 8, 2009·American Journal of Rhinology & Allergy·Adam M ZanationAmin B Kassam
Nov 10, 2010·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Lukas H KusNeil Duggal
Dec 2, 2010·The Laryngoscope·Adam M ZanationAmin B Kassam
Feb 3, 2011·The Laryngoscope·Alla Y SolyarDonald C Lanza

❮ Previous
Next ❯

Citations

Nov 16, 2013·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Resha S SoniJames K Liu
Jan 22, 2013·American Journal of Otolaryngology·Jean Anderson EloyJames K Liu
Aug 28, 2012·American Journal of Otolaryngology·Jean Anderson EloyJames K Liu
Sep 16, 2015·International Forum of Allergy & Rhinology·Gretchen M OakleyJeremiah A Alt
Jun 3, 2015·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·P SurdaA Toma
Mar 29, 2013·International Forum of Allergy & Rhinology·Olga KovalerchikJean Anderson Eloy
Oct 6, 2012·International Forum of Allergy & Rhinology·Jean Anderson EloyJames K Liu
Feb 7, 2014·International Forum of Allergy & Rhinology·Jean Anderson EloyJames K Liu
Nov 29, 2015·Otolaryngologic Clinics of North America·Duc A TienRaj Sindwani
Jul 5, 2015·Neurosurgery Clinics of North America·James K LiuJean Anderson Eloy
Jun 10, 2016·International Forum of Allergy & Rhinology·Ryan P LinLeon Bunegin
Sep 1, 2016·International Forum of Allergy & Rhinology·Arash ShahangianRodney J Schlosser
Feb 6, 2017·Otolaryngologic Clinics of North America·Peter F SviderJean Anderson Eloy
Feb 7, 2017·Otolaryngologic Clinics of North America·Ghassan Alokby, Roy R Casiano
Mar 21, 2017·Otolaryngologic Clinics of North America·Jean Anderson EloyJames K Liu
Mar 21, 2017·Otolaryngologic Clinics of North America·Adam J FolbeJean Anderson Eloy
Apr 11, 2014·American Journal of Rhinology & Allergy·Peter L SunaryoJames K Liu
Jul 23, 2019·International Forum of Allergy & Rhinology·Eric W WangCarl H Snyderman
Jun 18, 2019·The Journal of Craniofacial Surgery·Shekhar K GadkareeJoseph Zenga
Jul 26, 2019·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Anat WengierAvraham Abergel
Nov 26, 2019·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·T N Janakiram, Abhilasha Karunasagar
Jun 5, 2020·Surgical Neurology International·Andrew K WongRicky H Wong
Aug 1, 2018·Laryngoscope Investigative Otolaryngology·Todd J WannemuehlerJonathan Y Ting
Aug 28, 2020·Frontiers in Oncology·Cathal John HannanMohsen Javadpour
Dec 29, 2020·Laryngoscope Investigative Otolaryngology·Wade R GutierrezScott R Owen
Jan 1, 2021·Journal of Neurological Surgery. Part B, Skull Base·Christian P SoneruTheodore H Schwartz
Sep 10, 2015·Journal of Applied Biomaterials & Functional Materials·Cesare ZoiaPaolo Gaetani

❮ Previous
Next ❯

Software Mentioned

Excel

Related Concepts

Related Feeds

CSF & Lymphatic System

This feed focuses on Cerebral Spinal Fluid (CSF) and the lymphatic system. Discover the latest papers using imaging techniques to track CSF outflow into the lymphatic system in animal models.