A Comparative Study of Two Reconstructive Methods to Repair Sternberg’s Canal Cerebrospinal Fluid Leaks

Janakiram T N; Mansi a r Venkatramanan; Soumya Sampath; Arun Kumar G

doi:10.5152/ejra.2024.24138

A Comparative Study of Two Reconstructive Methods to Repair Sternberg’s Canal Cerebrospinal Fluid Leaks

Abstract

Objective: This study aimed to compare the effectiveness of a vascularized pedicle nasoseptal flap viz. Hadad– Bassagasteguy flap (HBF) with fat supplementation versus a free graft (fascia lata graft with fat) for repairing cerebro- spinal fluid (CSF) leaks in the Sternberg’s canal using a transpterygoid transphenoidal approach. Methods: A retrospective study was performed on 32 patients with Sternberg’s Canal CSF Leak (SCCL) between May 2008 and March 2020. The diagnosis was established using Beta-2-transferrin and imaging—computed tomography cisternography and magnetic resonance imaging. Postoperative results were analyzed by symptom relief, and mor- bidity was assessed using a patient questionnaire and diagnostic nasal endoscopy. Results: This study included 32 patients (19 females and 13 males). Eighteen patients underwent repair with fat, fas- cia and 14 underwent closure with a nasoseptal flap and fat. The success rate was directly proportional to adequate visualization, exposure, and proper creation of the bed by extirpating all the mucosa in the lateral recess/sphenoid sinus, irrespective of the use of vascularized pedicle flaps. Conclusion: We found that the type of graft material HBF and fat or free grafts (fat with fascia) were both equally effective in closing the leak. However, postoperative morbidity was higher in cases where nasoseptal flaps were used for closure.

Keywords

References

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Details

Primary Language

English

Subjects

Otorhinolaryngology

Journal Section

Research Article

Authors

Janakiram T N
0000-0002-7904-0835
India

Mansi a r Venkatramanan This is me
0000-0002-4423-5026
India

Soumya Sampath This is me
0009-0005-4233-3473
India

Arun Kumar G This is me
0009-0000-5704-9794
India

Publication Date

December 10, 2024

Submission Date

April 27, 2024

Acceptance Date

May 15, 2024

Published in Issue

Year 2024 Volume: 7 Number: 3

DOI

https://doi.org/10.5152/ejra.2024.24138

IZ

https://izlik.org/JA57ZT68MM

Cite

RIS / Bibtex

APA

T N, J., Venkatramanan, M., Sampath, S., & G, A. K. (2024). A Comparative Study of Two Reconstructive Methods to Repair Sternberg’s Canal Cerebrospinal Fluid Leaks. European Journal of Rhinology and Allergy, 7(3), 102-110. https://doi.org/10.5152/ejra.2024.24138

AMA

1.T N J, Venkatramanan M, Sampath S, G AK. A Comparative Study of Two Reconstructive Methods to Repair Sternberg’s Canal Cerebrospinal Fluid Leaks. Eur J Rhinol Allergy. 2024;7(3):102-110. doi:10.5152/ejra.2024.24138

Chicago

T N, Janakiram, Mansi a r Venkatramanan, Soumya Sampath, and Arun Kumar G. 2024. “A Comparative Study of Two Reconstructive Methods to Repair Sternberg’s Canal Cerebrospinal Fluid Leaks”. European Journal of Rhinology and Allergy 7 (3): 102-10. https://doi.org/10.5152/ejra.2024.24138.

EndNote

T N J, Venkatramanan M, Sampath S, G AK (December 1, 2024) A Comparative Study of Two Reconstructive Methods to Repair Sternberg’s Canal Cerebrospinal Fluid Leaks. European Journal of Rhinology and Allergy 7 3 102–110.

IEEE

[1]J. T N, M. Venkatramanan, S. Sampath, and A. K. G, “A Comparative Study of Two Reconstructive Methods to Repair Sternberg’s Canal Cerebrospinal Fluid Leaks”, Eur J Rhinol Allergy, vol. 7, no. 3, pp. 102–110, Dec. 2024, doi: 10.5152/ejra.2024.24138.

ISNAD

T N, Janakiram - Venkatramanan, Mansi a r - Sampath, Soumya - G, Arun Kumar. “A Comparative Study of Two Reconstructive Methods to Repair Sternberg’s Canal Cerebrospinal Fluid Leaks”. European Journal of Rhinology and Allergy 7/3 (December 1, 2024): 102-110. https://doi.org/10.5152/ejra.2024.24138.

JAMA

1.T N J, Venkatramanan M, Sampath S, G AK. A Comparative Study of Two Reconstructive Methods to Repair Sternberg’s Canal Cerebrospinal Fluid Leaks. Eur J Rhinol Allergy. 2024;7:102–110.

MLA

T N, Janakiram, et al. “A Comparative Study of Two Reconstructive Methods to Repair Sternberg’s Canal Cerebrospinal Fluid Leaks”. European Journal of Rhinology and Allergy, vol. 7, no. 3, Dec. 2024, pp. 102-10, doi:10.5152/ejra.2024.24138.

Vancouver

1.Janakiram T N, Mansi a r Venkatramanan, Soumya Sampath, Arun Kumar G. A Comparative Study of Two Reconstructive Methods to Repair Sternberg’s Canal Cerebrospinal Fluid Leaks. Eur J Rhinol Allergy. 2024 Dec. 1;7(3):102-10. doi:10.5152/ejra.2024.24138