Research Article

Results of the Endoscopic Anterior Skull Base Cerebrospinal Fluid Rhinorrhea Repair Without a Rigid Graft: A Retrospective Analysis

Volume: 1 Number: 2 August 1, 2018
European Journal of Rhinology and Allergy Cover
European Journal of Rhinology and Allergy
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Results of the Endoscopic Anterior Skull Base Cerebrospinal Fluid Rhinorrhea Repair Without a Rigid Graft: A Retrospective Analysis

Abstract

Objective: Endonasal endoscopic techniques have been widely used with different tissues to close the cerebrospinal fluid (CSF) fistula defects. The use of a rigid graft material is generally proposed for larger defects and in patients with an increased intracranial pressure. We investigated possible changes such as dural sagging, which may be developed at the level of the skull base in patients with CSF rhinorrhea, operated without a rigid graft. Material and Methods: Patients with anterior skull base CSF rhinorrhea managed by the transnasal endoscopic approach between January 2007 and December 2015 at a tertiary medical center hospital were included in this study. During that period, a total of 40 patients were operated for the CSF fistula using transnasal endoscopy. The standard magnetic resonance (MR) cisternography imaging (initial scans and all the available follow-up studies) of the patients were retrospectively evaluated by an experienced neuroradiologist. Results: Among the 55 patients whose CSF rhinorrhea was reconstructed without a rigid graft, only 18 patients had preoperative and postoperative MR cisternography that we could evaluate. The mean size of the skull-base defects detected during surgery was 8.4 mm (3 mm-20 mm; ±5.1 mm). The number of patients with a defect greater than 10.0 mm was 9. Accompanying meningocele or encephalocele was present in 9 of the patients. The two-layered fascial graft (temporal muscle fascia [n=10], fascia lata [n=8]) was used to repair the defect in all cases. There were no signs of the CSF leakage in any of the MR cisternographies. The areas of encephalomalasia were noticed in 6 cases. Dural layer continuity was not well seen in 3 cases. There were no signs of encephalocele observed in the coronal and sagittal section in any patient. Conclusion: All the practice regarding the usage of rigid grafts in the CSF rhinorrhea repair depends on the theoretical acceptance and beliefs. This study has shown that the rigid graft use is not a must for the CSF rhinorrhea surgery, especially for the small and medium-sized defects.

Keywords

References

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Details

Primary Language

English

Subjects

Otorhinolaryngology

Journal Section

Research Article

Authors

Ömer Taşkın Yücel This is me
Türkiye

Oğuz Öğretmenoğlu This is me
0000-0001-5811-8413
Türkiye

Publication Date

August 1, 2018

Submission Date

May 31, 2018

Acceptance Date

June 25, 2018

Published in Issue

Year 2018 Volume: 1 Number: 2

DOI

https://doi.org/10.5152/ejra.2018.29

IZ

https://izlik.org/JA48MK77AU

Cite

RIS / Bibtex
APA
Özer, S., Yücel, Ö. T., Özgen Mocan, B., Günaydın, R. Ö., Kuşçu, O., Öğretmenoğlu, O., & Önerci, T. M. (2018). Results of the Endoscopic Anterior Skull Base Cerebrospinal Fluid Rhinorrhea Repair Without a Rigid Graft: A Retrospective Analysis. European Journal of Rhinology and Allergy, 1(2), 38-42. https://doi.org/10.5152/ejra.2018.29
AMA
1.Özer S, Yücel ÖT, Özgen Mocan B, et al. Results of the Endoscopic Anterior Skull Base Cerebrospinal Fluid Rhinorrhea Repair Without a Rigid Graft: A Retrospective Analysis. Eur J Rhinol Allergy. 2018;1(2):38-42. doi:10.5152/ejra.2018.29
Chicago
Özer, Serdar, Ömer Taşkın Yücel, Burçe Özgen Mocan, et al. 2018. “Results of the Endoscopic Anterior Skull Base Cerebrospinal Fluid Rhinorrhea Repair Without a Rigid Graft: A Retrospective Analysis”. European Journal of Rhinology and Allergy 1 (2): 38-42. https://doi.org/10.5152/ejra.2018.29.
EndNote
Özer S, Yücel ÖT, Özgen Mocan B, Günaydın RÖ, Kuşçu O, Öğretmenoğlu O, Önerci TM (August 1, 2018) Results of the Endoscopic Anterior Skull Base Cerebrospinal Fluid Rhinorrhea Repair Without a Rigid Graft: A Retrospective Analysis. European Journal of Rhinology and Allergy 1 2 38–42.
IEEE
[1]S. Özer et al., “Results of the Endoscopic Anterior Skull Base Cerebrospinal Fluid Rhinorrhea Repair Without a Rigid Graft: A Retrospective Analysis”, Eur J Rhinol Allergy, vol. 1, no. 2, pp. 38–42, Aug. 2018, doi: 10.5152/ejra.2018.29.
ISNAD
Özer, Serdar - Yücel, Ömer Taşkın - Özgen Mocan, Burçe - Günaydın, Rıza Önder - Kuşçu, Oğuz - Öğretmenoğlu, Oğuz - Önerci, Tevfik Metin. “Results of the Endoscopic Anterior Skull Base Cerebrospinal Fluid Rhinorrhea Repair Without a Rigid Graft: A Retrospective Analysis”. European Journal of Rhinology and Allergy 1/2 (August 1, 2018): 38-42. https://doi.org/10.5152/ejra.2018.29.
JAMA
1.Özer S, Yücel ÖT, Özgen Mocan B, Günaydın RÖ, Kuşçu O, Öğretmenoğlu O, Önerci TM. Results of the Endoscopic Anterior Skull Base Cerebrospinal Fluid Rhinorrhea Repair Without a Rigid Graft: A Retrospective Analysis. Eur J Rhinol Allergy. 2018;1:38–42.
MLA
Özer, Serdar, et al. “Results of the Endoscopic Anterior Skull Base Cerebrospinal Fluid Rhinorrhea Repair Without a Rigid Graft: A Retrospective Analysis”. European Journal of Rhinology and Allergy, vol. 1, no. 2, Aug. 2018, pp. 38-42, doi:10.5152/ejra.2018.29.
Vancouver
1.Serdar Özer, Ömer Taşkın Yücel, Burçe Özgen Mocan, Rıza Önder Günaydın, Oğuz Kuşçu, Oğuz Öğretmenoğlu, Tevfik Metin Önerci. Results of the Endoscopic Anterior Skull Base Cerebrospinal Fluid Rhinorrhea Repair Without a Rigid Graft: A Retrospective Analysis. Eur J Rhinol Allergy. 2018 Aug. 1;1(2):38-42. doi:10.5152/ejra.2018.29

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