Papay F A, Maggiano H, Dominquez S, Hassenbusch S J, Levine H L, Lavertu P
Department of Otolaryngology and Communicative Disorders, Cleveland Clinic Foundation, OH 44195-5034.
Laryngoscope. 1989 Nov;99(11):1195-201. doi: 10.1288/00005537-198911000-00018.
The advent of functional transnasal endoscopic sinus surgery has brought new opportunities in the repair of difficult cerebrospinal fluid leaks of the paranasal sinuses. The following four case reports illustrate the repair of cerebrospinal fluid leaks with the use of rigid transnasal endoscopy for enhanced angled visualization and illumination. A description of surgical techniques and instrumentation involving transnasal endoscopy in repair of sphenoidal and ethmoidal cerebrospinal fluid fistulas is reported. A discussion of etiology, diagnoses, and conservative versus surgical management of cerebrospinal fluid rhinorrhea is presented.
功能性经鼻内镜鼻窦手术的出现为修复鼻窦难治性脑脊液漏带来了新机遇。以下四例病例报告阐述了使用硬质经鼻内镜以增强角度视野和照明来修复脑脊液漏。报告了在修复蝶窦和筛窦脑脊液瘘中涉及经鼻内镜的手术技术及器械使用情况。还对脑脊液鼻漏的病因、诊断以及保守治疗与手术治疗进行了讨论。
