Unit of Otorhinolaryngology (Head: Prof. S. Sellari-Franceschini), Department of Neuroscience, University of Pisa, Pisa, Italy.
J Craniomaxillofac Surg. 2010 Jul;38(5):396-402. doi: 10.1016/j.jcms.2009.10.013. Epub 2009 Nov 12.
The authors reviewed the medical records of patients who had undergone endoscopic management of sphenoid sinus (SS) cerebrospinal fluid (CSF) leaks in our department between 2005 and 2007. Eight patients were included in this study: 4 males and 4 females. CSF fistulae were due to trauma, surgery, and some were idiopathic. In all the patients, a multilayer skull base closure was performed. No SS obliteration was carried out. One patient required revision surgery for persistent CSF leak. Multilayer skull base closure is confirmed as the preferred option in sphenoid CSF leaks. The limited morbidity and high success rate fit well with the data in the literature and make this treatment option advisable.
作者回顾了 2005 年至 2007 年期间在我科行内镜下治疗蝶窦（SS）脑脊液（CSF）漏的患者的病历。本研究纳入 8 例患者：4 例男性，4 例女性。CSF 瘘是由于创伤、手术，有些是特发性的。所有患者均行多层颅底封闭术，未行 SS 闭塞术。1 例患者因持续 CSF 漏而行翻修手术。多层颅底封闭术被证实是治疗蝶窦 CSF 漏的首选方法。其发病率低、成功率高，与文献数据相符，是一种合理的治疗选择。
