The subcranial approach for the management of cerebrospinal rhinorrhea

Dan M. Fliss, Gideon Zucker, Aharon Amir, Jacob T. Cohen, Albert Gatot

Research output: Contribution to journalArticlepeer-review

Abstract

Because of the likelihood of intracranial complications, optimal treatment for cerebrospinal fluid (CSF) fistula is to have the leak closed. We elected to use the extended subcranial approach in a group of 8 patients with CSF rhinorrhea. Selection criteria included large defects of the anterior skull base (>15 mm), defects not accessible by endoscopes, fistula sites that could not be localized preoperatively, and multiple and transverse fractures of the cribiform area. Resolution of rhinorrhea was achieved in all patients. Anosmia was the only postoperative complication. The indication for this approach, the surgical technique, and various aspects concerning reconstruction are highlighted.

Original languageEnglish
Pages (from-to)294-298
Number of pages5
JournalOperative Techniques in Otolaryngology - Head and Neck Surgery
Volume11
Issue number4
DOIs
StatePublished - 1 Dec 2000
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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