Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1387
2
1
gregorian
2008
5
1
22
1
online
1
fulltext
en
Endoscopic management of cerebrospinal fluid rhinorrhea from anterior skull base defects
Otorhinolaryngology
Otorhinolaryngology
Original Research
Original Research
<p> <strong> Abstract </strong></p><p> <strong> Background: </strong>Over the past 20 years, the minimally invasive endoscopic approach </p><p> has gained widespread acceptance. The study was performed to evaluate the </p><p> diagnostic method and the success rate of endoscopically diagnosed and treated CSF </p><p> rhinorrhea, and also investigations such as leakage site and etiologic factor. </p><p> <strong> Methods: </strong>This retrospective CSF leakage management review of patients experiencing </p><p> CSF rhinorrhea made from 1999-2006 included data regarding leakage etiology, </p><p> preoperative assessment, intraoperative techniques and postoperative followup. </p><p> <strong> Result: </strong>Sixty-five patients were managed endoscopically. CSF rhinorrhea etiology </p><p> was traumatic in 30 cases, iatrogenic in 23 and spontaneous in 12. We used nasal </p><p> endoscopy and high resolution computed tomography (HRCT) in all 65 cases while </p><p> CT metrizamide cisternography was used in 5 specifically and magnetic resonance </p><p> imaging for 5 others. Intrathecal fluorescein was used for intraoperative assessment </p><p> without complications, and only one case of meningismus was noted. </p><p> <strong> Conclusion: </strong>Several imaging methods were effective in diagnosing CSF leakage </p><p> sites. Endoscopic management and autografts were successful in repairing anterior </p><p> skull defects in 90.76% of the cases. </p>
CSF leakage, skull base defects, diagnostic tests, endoscopic diagnosis and management.
12
16
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-55&slc_lang=en&sid=1
Shabahang
Mohammadi
20031947532846001546
20031947532846001546
Yes
Department of Otorhinolaryngology-Head & Neck Surgery, Hazrate-e-
Ahmad
Daneshi
20031947532846001547
20031947532846001547
No
Department of Otorhinolaryngology-Head & Neck Surgery, Hazrat-e Rasool Hospital, Iran University of Medical Sciences.
Mohammad
Farhadi
20031947532846001548
20031947532846001548
No
Department & Research Center of Otorhinolaryngology-Head & Neck Surgery, Hazrat-e Rasool Hospital.
Saleh
Mohebbi
20031947532846001549
20031947532846001549
No
Head and Neck Surgery, Shahid Mohammadi Hospital(Bandar Abbas).