Nachtigal D, Frenkiel S, Yoskovitch A, Mohr G
Department of Otolaryngology, Sir Mortimer B. Davis-Jewish General Hospital, McGill University, Montreal, Quebec.
J Otolaryngol. 1999 Jun;28(3):129-33.
Between 1991 and 1998, 12 patients with cerebrospinal fluid rhinorrhea were operated on using the intranasal endoscopic approach. The procedure was successful in 10 cases. The endoscopic approach failed in two patients who had larger bony defects and herniating meningoencephaloceles. This paper analyzes the case material with respect to the etiology and site of leakage. The value of computed tomography and magnetic resonance imaging for preoperative localization of the leak is discussed. The technique of underlay fascia graft is described and discussion ensues regarding potential pitfalls that may lead to failure of leak closure.
1991年至1998年间，12例脑脊液鼻漏患者接受了鼻内镜手术治疗。10例手术成功。2例骨质缺损较大且存在脑膜脑膨出的患者，内镜手术失败。本文就漏液的病因和部位对病例资料进行了分析。讨论了计算机断层扫描和磁共振成像在术前漏口定位中的价值。描述了衬里筋膜移植技术，并对可能导致漏口闭合失败的潜在陷阱进行了讨论。
