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13885

Multilayered Endonasal endoscopic repair of CSF leaks of sphenoid sinus

Article

Last updated: 22 Jan 2023

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Abstract

Cerebrospinal fluid rhinorrhea of the sphenoid sinus is a serious clinical condition. Endoscopic management has become the gold standard treatment. Use of multilayer closure to occlude the anatomical defect was suggested by some reports. The current study aims to evaluate endoscopic repair of sphenoid sinus CSF leak using multilayer closure. The present study included 17 patients. Their CSF leak was caused by accidental trauma in 9 patients (52.9 %), iatrogenic trauma in 1 patient (5.9 %) and in 7 patients (41.1 %), the leak occurred spontaneously. After localization of the leak, multilayer closure was used for anatomical defect repair. All patients achieved successful operative repair form the first attempt. The reported complications included meningitis in only 1 patient (5.9 %).Endoscopic repair of the sphenoid sinus CSF leaks using multilayer closure is a safe and effective approach. The Hadad–Bassagasteguy flap is the corner stone for sealing skull base defects in sphenoid sinus.

DOI

10.21608/ejentas.2018.3499.1012

Keywords

Endoscopic, rhinorrhea, sphenoid sinus

Authors

First Name

mohamed

Last Name

abdelazim

MiddleName

hussein

Affiliation

Department of Otorhinolaryngology, Al-Azhar Faculty of Medicine New Damietta; Egypt.

Email

mohammedabdelazeem35@yahoo.com

City

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Orcid

-

First Name

Wael

Last Name

Ismail

MiddleName

Fawzy

Affiliation

Otorhinolaryngology Department, Faculty of Medicine, Al-Azhar University, New Damietta, Egypt

Email

dr_mallah@gmail.com

City

-

Orcid

-

First Name

Ahmed

Last Name

Taha

MiddleName

-

Affiliation

Neurosurgery Department, Faculty of Medicine, Al-Azhar University, New Damietta, Egypt.

Email

-

City

-

Orcid

-

Volume

19

Article Issue

2

Related Issue

2134

Issue Date

2018-06-01

Receive Date

2018-04-10

Publish Date

2018-06-01

Page Start

45

Page End

50

Print ISSN

2090-0740

Online ISSN

2090-3405

Link

https://ejentas.journals.ekb.eg/article_13885.html

Detail API

https://ejentas.journals.ekb.eg/service?article_code=13885

Order

3

Type

Original Article

Type Code

467

Publication Type

Journal

Publication Title

Egyptian Journal of Ear, Nose, Throat and Allied Sciences

Publication Link

https://ejentas.journals.ekb.eg/

MainTitle

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Details

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Article

Created At

22 Jan 2023