Utility of preoperative high-resolution CT and intraoperative image guidance in identification of cerebrospinal fluid leaks for endoscopic repair

American Journal of Rhinology
Jodi D Zuckerman, John M DelGaudio

Abstract

Endoscopic repair of cerebrospinal fluid (CSF) leaks is a well-established procedure. The radiological workup and use of intraoperative image guidance (IGS), lumbar drain (LD), and intrathecal fluorescein (IF) are less universally accepted. This study examines endoscopic repair of CSF leaks using preoperative high-resolution CT (HRCT) and intraoperative IGS without IF or LD. Retrospective review was performed of a single surgeon experience between September 2002 and January 2007. Forty-two anterior skull base defects in 40 patients were repaired endoscopically. The etiology of CSF leaks was traumatic in 5, spontaneous in 12, and iatrogenic in 25 defects (15 from endoscopic sinus surgeries and 10 from neurosurgical procedures). Fifty-two percent of defects presented with a meningoencephalocele. Defect location was sphenoid sinus (17 defects), ethmoid roof (14 defects), cribriform plate (9 defects), and frontal sinus (2 defects). Defect size ranged from 1x1 mm to 2x2 cm. Follow-up ranged from 8 to 46 months. All defects were identified preoperatively on HRCT with successful intraoperative IGS localization. No patients required IF for identification of CSF leak. Overall successful repair was achieved in 40 (95%) defects after init...Continue Reading

References

Sep 1, 1996·The Laryngoscope·D C LanzaD W Kennedy
Dec 2, 1999·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·R R Casiano, D Jassir
Jan 13, 2000·American Journal of Rhinology·H G GassnerE B Kern
Feb 3, 2004·The Laryngoscope·Rodney J Schlosser, William E Bolger
Apr 22, 2004·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Rodney J SchlosserWilliam E Bolger
Dec 20, 2005·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Abtin TabaeeVijay K Anand

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Citations

May 18, 2013·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·Eldar RosenfeldAnat Kesler
Oct 22, 2013·Otolaryngologic Clinics of North America·Derrick T Lin, Alice C Lin
Sep 16, 2015·International Forum of Allergy & Rhinology·Gretchen M OakleyRichard R Orlandi
Sep 16, 2015·International Forum of Allergy & Rhinology·Gretchen M OakleyJeremiah A Alt
Jun 8, 2010·Otolaryngologic Clinics of North America·Frank W VirginBradford A Woodworth
Jan 12, 2010·American Journal of Otolaryngology·Weiliang BaiZhiwei Cao
Dec 10, 2013·Clinical Neurology and Neurosurgery·Matei A BanuTheodore H Schwartz
Sep 11, 2016·Clinical Biochemistry·Daniel Morell-GarciaIsabel Llompart
Sep 30, 2016·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Omar H AhmedRichard A Lebowitz
Apr 30, 2017·American Journal of Rhinology & Allergy·Patricia A LoftusJohn M DelGaudio
May 9, 2012·International Forum of Allergy & Rhinology·R Peter ManesBradley F Marple
Dec 13, 2019·International Forum of Allergy & Rhinology·Christopher D PoolNeerav Goyal
Dec 21, 2019·American Journal of Rhinology & Allergy·John P FlynnJennifer Villwock
Aug 2, 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·Zheng Jie ZhuJun Yang
Apr 28, 2017·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·Muaid I Aziz BabanPaolo Castelnuovo
Aug 30, 2018·Case Reports in Otolaryngology·Wyatt J WeinheimerPhilip G Chen
Dec 16, 2020·Journal of Neurosurgical Sciences·Vittorio RampinelliPiero Nicolai
Sep 9, 2010·European Annals of Otorhinolaryngology, Head and Neck Diseases·V Prulière-Escabasse, A Coste
Dec 1, 2021·American Journal of Rhinology & Allergy·Michael XieDoron D Sommer

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