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脑脊液鼻漏的内镜治疗

Endoscopic management of cerebrospinal fluid rhinorrhea.

作者信息

Schlosser Rodney J, Bolger William E

机构信息

Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, 135 Rutledge Avenue, Suite 1130, PO Box 250550, Charleston, SC 29425, USA.

出版信息

Otolaryngol Clin North Am. 2006 Jun;39(3):523-38, ix. doi: 10.1016/j.otc.2006.01.001.

DOI:10.1016/j.otc.2006.01.001
PMID:16757229
Abstract

Cerebrospinal fluid rhinorrhea and meningoencephaloceles extending into the nasal cavity from the anterior, middle, and posterior cranial fossae often are managed by otolaryngologists. A thorough understanding of the underlying pathophysiology, management principles, and treatment options is essential to achieve optimal outcomes. Surgical and medical management is highly individualized and depends on many factors, including etiology, anatomic site, and underlying intracranial pressure. This article highlights the history, physiology, pathophysiology, diagnosis, surgical techniques, and postoperative care relevant to nasal cerebrospinal fluid leaks and encephaloceles.

摘要

脑脊液鼻漏以及从前颅窝、中颅窝和后颅窝延伸至鼻腔的脑膜脑膨出通常由耳鼻喉科医生进行处理。深入了解其潜在的病理生理学、管理原则和治疗选择对于实现最佳治疗效果至关重要。手术和药物治疗具有高度个体化,取决于许多因素,包括病因、解剖部位和颅内压。本文重点介绍了与鼻腔脑脊液漏和脑膜脑膨出相关的病史、生理学、病理生理学、诊断、手术技术和术后护理。

相似文献

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Endoscopic management of cerebrospinal fluid rhinorrhea.脑脊液鼻漏的内镜治疗
Otolaryngol Clin North Am. 2006 Jun;39(3):523-38, ix. doi: 10.1016/j.otc.2006.01.001.
2
Nasal cerebrospinal fluid leaks: critical review and surgical considerations.鼻脑脊液漏:批判性综述与手术考量
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Evolutions in the management of congenital intranasal skull base defects.先天性鼻内颅底缺损的治疗进展
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Nasal cerebrospinal fluid leaks.鼻脑脊液漏
J Otolaryngol. 2002 Aug;31 Suppl 1:S28-37. doi: 10.2310/7070.2002.21316.
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Pediatric meningoencephaloceles and nasal obstruction: a case for endoscopic repair.小儿脑膜脑膨出与鼻阻塞:内镜修复病例
Int J Pediatr Otorhinolaryngol. 2006 Dec;70(12):2087-92. doi: 10.1016/j.ijporl.2006.08.007. Epub 2006 Oct 27.
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Spontaneous cerebrospinal fluid leaks.自发性脑脊液漏
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