Safavi Ali, Safavi Amir Ali, Jafari Rozita
Department of Otolaryngology, Head and Neck Surgery, Tracheal Research Center, Shahid Beheshti University of Medical Sciences, Tehran 19558-41452, Iran.
Malays J Med Sci. 2014 Sep-Oct;21(5):37-43.
We aimed to test a new approach for repairing cerebrospinal fluid (CSF) leaks and to determine the demographic, diagnostic, and treatment factors associated with the successful management of intracranial complication. Owing to the high frequency of endoscopic surgeries and the low cost of medical care in Iran, we decided to report our experience of reconstruction after CSF leaks.
We retrospectively reviewed our experience in the diagnosis and management of CSF rhinorrhoea in Iran between 2005 and 2012. The locations of all pre-repair leaks were identified using simple, readily available methods. The follow-up time ranged from 2 to 72 months.
Of the 37 participants, 59.5% were men and the mean age was 33 years. The success rate was 86.1%, and the most common aetiological factor was trauma (57%). The most common location was the ethmoidal fovea (45.9%), followed by the sphenoid sinus (24.3%), the cribriform plate (13.5%), and the posterior table of the frontal sinus (5.4%).
Medical care in Iran has considerable budget restrictions. This study advocates a practical method of treatment for patients in similar circumstances, with a success rate of 86.1% when compared to the 90.6% achieved with other techniques.
cerebrospinal fluid leak, endoscopic, intracranial pressure ICP.
我们旨在测试一种修复脑脊液（CSF）漏的新方法，并确定与颅内并发症成功管理相关的人口统计学、诊断和治疗因素。由于伊朗内镜手术的高频率和医疗护理的低成本，我们决定报告我们在脑脊液漏后重建的经验。
我们回顾性地分析了2005年至2012年间我们在伊朗诊断和管理脑脊液鼻漏的经验。使用简单、易于获得的方法确定所有修复前漏口的位置。随访时间为2至72个月。
37名参与者中，59.5%为男性，平均年龄为33岁。成功率为86.1%，最常见的病因是外伤（57%）。最常见的位置是筛骨隐窝（45.9%），其次是蝶窦（24.3%）、筛板（13.5%）和额窦后壁（5.4%）。
伊朗的医疗护理有相当大的预算限制。本研究提倡一种针对类似情况患者的实用治疗方法，与其他技术达到的90.6%相比，成功率为86.1%。
脑脊液漏、内镜、颅内压（ICP）
