Rossi Izquierdo Marcos, Martín Martín Carlos, Labella Caballero Torcuato
Servicio de Otorrinolaringología, Hospital Universitario Lucus Augusti, Lugo, España.
Acta Otorrinolaringol Esp. 2012 Mar-Apr;63(2):144-6. doi: 10.1016/j.otorri.2010.11.012. Epub 2011 Feb 1.
Endoscopic surgical techniques allow treating various pathological diseases of the cranial base, including cerebrospinal fluid leaks (CSF). These approaches have a high success rate and reduce surgical time and morbidity. However, when they are located in the lateral wall of the sphenoid, the surgery is more complex. In our case, the CSF appeared to be related with a Sternberg's canal. Predisposing factors were also associated with an extensive unilateral pneumatization of the sinus and benign intracranial hypertension. The closure of the leak was achieved using an endoscopic transethmoidal transpterygoid approach for proper exposition of the lateral wall of the sphenoid. After five years of monitoring, the patient has had no more episodes of rhinoliquorrhea.
内镜手术技术可用于治疗颅底的各种病理性疾病，包括脑脊液漏（CSF）。这些方法成功率高，可缩短手术时间并降低发病率。然而，当脑脊液漏位于蝶窦外侧壁时，手术更为复杂。在我们的病例中，脑脊液漏似乎与斯滕伯格管有关。诱发因素还与鼻窦广泛的单侧气化和良性颅内高压有关。通过内镜经筛窦经翼突入路对蝶窦外侧壁进行适当暴露，实现了漏口的封闭。经过五年的随访，患者未再出现鼻漏症状。
