Schlosser Rodney J, Bolger William E
Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, 135 Rutledge Avenue, Suite 1130, PO Box 250550, Charleston, SC 29425, USA.
Otolaryngol Clin North Am. 2006 Jun;39(3):523-38, ix. doi: 10.1016/j.otc.2006.01.001.
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.
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。