Endoscopic management of Cerebrospinal fluid leaks

J. Drew Sanderson, Stilianos E Kountakis, K. Christopher McMains

Research output: Contribution to journalReview article

10 Citations (Scopus)

Abstract

Cerebrospinal fluid (CSF) rhinorrhea is an uncommon but important medical condition. It can result from trauma, intracranial hypertension, or be idiopathic in origin. If left untreated, significant sequelae can result including infectious meningitis. Beta-2 transferrin is a sensitive and specific protein marker for CSF. Various radiographic modalities have been used to localize defects, including computed tomography (CT), magnetic resonance imaging, and CT cisternography. In recent years, surgical management of this condition has evolved significantly, primarily being performed endoscopically. Reconstruction can be performed with fat, free mucosal, or fascial grafts, or with vascularized flaps. The endoscopic surgeon should have a thorough understanding of the pathophysiology and diagnosis of CSF rhinorrhea as well as several surgical options in his or her armamentarium available to treat the patient suffering from CSF rhinorrhea.

Original languageEnglish (US)
Pages (from-to)29-37
Number of pages9
JournalFacial Plastic Surgery
Volume25
Issue number1
DOIs
StatePublished - Feb 1 2009

Fingerprint

Cerebrospinal Fluid Rhinorrhea
Tomography
Cerebrospinal Fluid Proteins
Intracranial Hypertension
Transferrin
Meningitis
Fats
Magnetic Resonance Imaging
Transplants
Wounds and Injuries
Cerebrospinal Fluid Leak

Keywords

  • Anterior skull base surgery
  • Cerebrospinal fluid (CSF) rhinorrhea
  • Cribriform plate
  • Defect repair
  • Nasal endoscopy

ASJC Scopus subject areas

  • Surgery

Cite this

Endoscopic management of Cerebrospinal fluid leaks. / Sanderson, J. Drew; Kountakis, Stilianos E; McMains, K. Christopher.

In: Facial Plastic Surgery, Vol. 25, No. 1, 01.02.2009, p. 29-37.

Research output: Contribution to journalReview article

Sanderson, J. Drew ; Kountakis, Stilianos E ; McMains, K. Christopher. / Endoscopic management of Cerebrospinal fluid leaks. In: Facial Plastic Surgery. 2009 ; Vol. 25, No. 1. pp. 29-37.
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