Endoscopic endonasal repair of spontaneous CSF fistulae

The authors present a fully endoscopic endonasal repair of a spontaneous CSF leak caused by a defect in the anterior fossa floor. Patients were positioned supine in a Mayfield headholder in slight extension. A complete ethmoidectomy was performed to expose the defect. The middle turbinate was remove...

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Published inNeurosurgical focus Vol. 32 Suppl 1; no. Suppl1; p. E6
Main Authors Tormenti, Matthew J, Paluzzi, Alessandro, Pinheiro-Neto, Carlos D, Fernandez-Miranda, Juan C, Snyderman, Carl H, Gardner, Paul A
Format Journal Article
LanguageEnglish
Published United States 01.01.2012
Subjects
fistulae
video
ethmoidectomy
cerebrospinal fluid
endonasal repair
endoscopic approach
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Summary:The authors present a fully endoscopic endonasal repair of a spontaneous CSF leak caused by a defect in the anterior fossa floor. Patients were positioned supine in a Mayfield headholder in slight extension. A complete ethmoidectomy was performed to expose the defect. The middle turbinate was removed to increase visualization and allow for more working room. The defect was identified and exposed. A nasoseptal flap was raised and placed over the defect. A free-mucosal graft fashioned from the removed middle turbinate was placed on the nasoseptal donor site. The video can be found here: http://youtu.be/gAN2cvQVXCE .
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:1092-0684
1092-0684
DOI:10.3171/2012.V6.FOCUS11304