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[内镜治疗特发性自发性脑脊液鼻漏:一例报告]

[Endoscopic treatment of idiopathic spontaneous although cerebrospinal fluid rhinorrhea: a case report].

作者信息

Kansu Leyla, Akkuzu Babür, Avci Suat

机构信息

Department of Otolaryngology, Medicine Faculty of Başkent University, Ankara, Turkey.

出版信息

Kulak Burun Bogaz Ihtis Derg. 2009 Jan-Feb;19(1):36-40.

Abstract

Although cerebrospinal fluid (CSF) rhinorrhea is a rarely seen clinical entity, it is a condition which should be considered carefully by otolaryngologists and neurosurgeons because it has the possibility of serious complications unless it is treated. Trauma is the most common causative factor. Idiopathic spontaneous CSF rhinorrhea is a very rare entity which is difficult to manage and which has high recurrence rates. Although in the past CSF rhinorrhea used to be treated by intracranial route, nowadays endonasal endoscopic surgery is preferred because of wide usage of rigid endoscopes with much fewer complications, In this article, a case of 43-year-old female with idiopathic spontaneous CSF rhinorrhea repaired by endonasal endoscopic surgery is presented, and the diagnosis and the treatment of CSF rhinorrhea is reviewed.

摘要

虽然脑脊液鼻漏是一种临床少见的病症,但耳鼻喉科医生和神经外科医生应仔细考虑这种情况,因为除非进行治疗,否则它有可能引发严重并发症。外伤是最常见的致病因素。特发性自发性脑脊液鼻漏是一种非常罕见的病症,难以处理且复发率高。虽然过去脑脊液鼻漏常通过颅内途径治疗,但如今由于硬性内窥镜的广泛使用且并发症少得多,鼻内镜手术成为首选。本文介绍了一例43岁女性特发性自发性脑脊液鼻漏经鼻内镜手术修复的病例,并对脑脊液鼻漏的诊断和治疗进行了综述。

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