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一例脑脊液鼻漏病例:一项手术挑战。

A case of cerebrospinal fluid rhinorrhoea: a surgical challenge.

作者信息

R Sumitha, Hari P M, Kumar S Ramya, Hariprasad R

机构信息

Assistant Professor, Department of ENT, Sree Balaji Medical College & Hospital , Chennai, Tamil Nadu, India .

出版信息

J Clin Diagn Res. 2013 Jul;7(7):1447-9. doi: 10.7860/JCDR/2013/5377.3170. Epub 2013 Jul 1.

Abstract

CEREBROSPINAL FLUID rhinorrhoea is defined as the leakage of CEREBROSPINAL FLUID through the nose due to communication between nasal cavity and Sub-arachnoid space. It occurs due to breach in 4 layers - mucosa of the nose and PNS, skull base, Duramater, Subarachnoid membrane. With the advent of nasal endoscope and advancement in technology, Endoscopic Endonasal closure of CEREBROSPINAL FLUID leak has reached tremendous heights due to exact localization and precise placement of graft. In this article, we are publishing a case report of Non-traumatic normal pressure CEREBROSPINAL FLUID leak of more than 1.5cm in size which was successfully closed Endoscopically by multilayered technique.

摘要

脑脊液鼻漏定义为由于鼻腔与蛛网膜下腔相通导致脑脊液经鼻漏出。它是由于鼻黏膜和鼻旁窦、颅底、硬脑膜、蛛网膜这四层结构出现破损而发生的。随着鼻内镜的出现和技术的进步,由于能够精确定位和精确放置移植物,内镜下经鼻脑脊液漏修补术取得了巨大进展。在本文中,我们发表了一例非创伤性正常压力性脑脊液漏病例报告,漏口大小超过1.5厘米,通过多层技术在内镜下成功修补。

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本文引用的文献

1
Endoscopic endonasal approaches for repair of cerebrospinal fluid leaks: nine-year experience.鼻内镜下经鼻入路修复脑脊液漏:九年经验
Neurosurgery. 2006 Apr;58(4 Suppl 2):ONS-246-56; discussiom ONS-256-7. doi: 10.1227/01.NEU.0000193924.65297.3F.
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10
Contemporary management of cerebrospinal fluid rhinorrhea.脑脊液鼻漏的现代治疗
Otolaryngol Head Neck Surg. 1997 Apr;116(4):442-9. doi: 10.1016/S0194-59989770292-4.

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