Endoscopic repair of csf fistulae

A ten year experience

Arun Alexander, John Mathew, Ajoy Mathew Varghese, Sivaraman Ganesan

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Introduction: Cerebrospinal Fluid (CFF) fistulae are repaired endoscopically with varying degrees of success around the world. Large series are still uncommon, and the results varied primarily because of the different techniques by different surgeons and also because of a variation in the patient profile in each series, for example, many series deal primarily with traumatic CSF leaks where the defects are larger and outcomes poorer. Aim: To analyse the surgical outcomes of Endoscopic CSF rhinorrhea closure. Materials and Methods: This is a series of 34 cases operated upon primarily by one surgeon in two different centres over a period of 10 years.Results: Of the 34 cases, 76% of the patients were women. Among the patients only 20.6% patients had a history of trauma preceding the CSF leak. The most common site of leak was in the fovea ethmoidalis in 19 (55.8%) followed by 10 (29.4%) in the cribriform plate. An overlay technique of placing the multiple layers of fascia and mucosa was used in 26 (76.5%) patients and underlay technique in the remaining. Postoperative lumbar drain was used in all patients. Conclusions: Based on the treatment outcome of the 34 patients, it can be concluded that the success rate of a single endoscopic procedure in our experience is 97% and 100% following the second. Endoscopic approach for closure of CSF leak is safe with minimal complications and little morbidity.

Original languageEnglish
Pages (from-to)1-4
Number of pages4
JournalJournal of Clinical and Diagnostic Research
Volume10
Issue number8
DOIs
Publication statusPublished - Aug 1 2016

Fingerprint

Cerebrospinal fluid
Fistula
Repair
Defects
Ethmoid Bone
Cerebrospinal Fluid Rhinorrhea
Fascia
Mucous Membrane
Cerebrospinal Fluid
Morbidity
Wounds and Injuries

Keywords

  • Endoscopic sinus surgery
  • Fovea ethmoidalis
  • Lumbar drain

ASJC Scopus subject areas

  • Medicine(all)
  • Clinical Biochemistry

Cite this

Endoscopic repair of csf fistulae : A ten year experience. / Alexander, Arun; Mathew, John; Varghese, Ajoy Mathew; Ganesan, Sivaraman.

In: Journal of Clinical and Diagnostic Research, Vol. 10, No. 8, 01.08.2016, p. 1-4.

Research output: Contribution to journalArticle

@article{521259352a464e65af8270294c436ec6,
title = "Endoscopic repair of csf fistulae: A ten year experience",
abstract = "Introduction: Cerebrospinal Fluid (CFF) fistulae are repaired endoscopically with varying degrees of success around the world. Large series are still uncommon, and the results varied primarily because of the different techniques by different surgeons and also because of a variation in the patient profile in each series, for example, many series deal primarily with traumatic CSF leaks where the defects are larger and outcomes poorer. Aim: To analyse the surgical outcomes of Endoscopic CSF rhinorrhea closure. Materials and Methods: This is a series of 34 cases operated upon primarily by one surgeon in two different centres over a period of 10 years.Results: Of the 34 cases, 76{\%} of the patients were women. Among the patients only 20.6{\%} patients had a history of trauma preceding the CSF leak. The most common site of leak was in the fovea ethmoidalis in 19 (55.8{\%}) followed by 10 (29.4{\%}) in the cribriform plate. An overlay technique of placing the multiple layers of fascia and mucosa was used in 26 (76.5{\%}) patients and underlay technique in the remaining. Postoperative lumbar drain was used in all patients. Conclusions: Based on the treatment outcome of the 34 patients, it can be concluded that the success rate of a single endoscopic procedure in our experience is 97{\%} and 100{\%} following the second. Endoscopic approach for closure of CSF leak is safe with minimal complications and little morbidity.",
keywords = "Endoscopic sinus surgery, Fovea ethmoidalis, Lumbar drain",
author = "Arun Alexander and John Mathew and Varghese, {Ajoy Mathew} and Sivaraman Ganesan",
year = "2016",
month = "8",
day = "1",
doi = "10.7860/JCDR/2016/18903.8390",
language = "English",
volume = "10",
pages = "1--4",
journal = "Journal of Clinical and Diagnostic Research",
issn = "2249-782X",
publisher = "JCDR Research and Publications (Pvt) Limited",
number = "8",

}

TY - JOUR

T1 - Endoscopic repair of csf fistulae

T2 - A ten year experience

AU - Alexander, Arun

AU - Mathew, John

AU - Varghese, Ajoy Mathew

AU - Ganesan, Sivaraman

PY - 2016/8/1

Y1 - 2016/8/1

N2 - Introduction: Cerebrospinal Fluid (CFF) fistulae are repaired endoscopically with varying degrees of success around the world. Large series are still uncommon, and the results varied primarily because of the different techniques by different surgeons and also because of a variation in the patient profile in each series, for example, many series deal primarily with traumatic CSF leaks where the defects are larger and outcomes poorer. Aim: To analyse the surgical outcomes of Endoscopic CSF rhinorrhea closure. Materials and Methods: This is a series of 34 cases operated upon primarily by one surgeon in two different centres over a period of 10 years.Results: Of the 34 cases, 76% of the patients were women. Among the patients only 20.6% patients had a history of trauma preceding the CSF leak. The most common site of leak was in the fovea ethmoidalis in 19 (55.8%) followed by 10 (29.4%) in the cribriform plate. An overlay technique of placing the multiple layers of fascia and mucosa was used in 26 (76.5%) patients and underlay technique in the remaining. Postoperative lumbar drain was used in all patients. Conclusions: Based on the treatment outcome of the 34 patients, it can be concluded that the success rate of a single endoscopic procedure in our experience is 97% and 100% following the second. Endoscopic approach for closure of CSF leak is safe with minimal complications and little morbidity.

AB - Introduction: Cerebrospinal Fluid (CFF) fistulae are repaired endoscopically with varying degrees of success around the world. Large series are still uncommon, and the results varied primarily because of the different techniques by different surgeons and also because of a variation in the patient profile in each series, for example, many series deal primarily with traumatic CSF leaks where the defects are larger and outcomes poorer. Aim: To analyse the surgical outcomes of Endoscopic CSF rhinorrhea closure. Materials and Methods: This is a series of 34 cases operated upon primarily by one surgeon in two different centres over a period of 10 years.Results: Of the 34 cases, 76% of the patients were women. Among the patients only 20.6% patients had a history of trauma preceding the CSF leak. The most common site of leak was in the fovea ethmoidalis in 19 (55.8%) followed by 10 (29.4%) in the cribriform plate. An overlay technique of placing the multiple layers of fascia and mucosa was used in 26 (76.5%) patients and underlay technique in the remaining. Postoperative lumbar drain was used in all patients. Conclusions: Based on the treatment outcome of the 34 patients, it can be concluded that the success rate of a single endoscopic procedure in our experience is 97% and 100% following the second. Endoscopic approach for closure of CSF leak is safe with minimal complications and little morbidity.

KW - Endoscopic sinus surgery

KW - Fovea ethmoidalis

KW - Lumbar drain

UR - http://www.scopus.com/inward/record.url?scp=84986238361&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84986238361&partnerID=8YFLogxK

U2 - 10.7860/JCDR/2016/18903.8390

DO - 10.7860/JCDR/2016/18903.8390

M3 - Article

VL - 10

SP - 1

EP - 4

JO - Journal of Clinical and Diagnostic Research

JF - Journal of Clinical and Diagnostic Research

SN - 2249-782X

IS - 8

ER -