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鼻甲黏膜下透热疗法后脑脊液漏：一种罕见的并发症。

Cerebrospinal fluid leakage after turbinate submucosal diathermy: an unusual complication.

作者信息

Abobotain Abdulaziz H, Ajlan Abdulrazag, Alsaleh Saad

机构信息

Dr. Abdulaziz Abobotain, Department of Surgery, College of Medicine,, King Saud University, Riyadh 11451,, Saudi Arabia, abdulazizalbabtain@gmail. com, ORCID: http://orcid.org/0000.0002-6343-7643.

出版信息

Ann Saudi Med. 2018 Mar-Apr;38(2):143-147. doi: 10.5144/0256-4947.2018.143.

DOI:10.5144/0256-4947.2018.143
PMID:29620550
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6074370/
Abstract

UNLABELLED

Submucosal diathermy of the inferior turbinate (SMDIT) is a generally safe procedure to control inferior turbinate hypertrophy. We present a case of a cerebrospinal fluid (CSF) leak at the craniocervical junction after SMDIT done in another institution. A 27-year-old man presented 3 weeks after undergoing SMDIT with signs and symptoms of meningitis and postnasal rhinorrhea. Nasal endoscopy and imaging revealed a nasopharyngeal CSF fistula at the craniocervical junction. Transnasal endoscopic repair and reconstruction was performed with no recurrence on repeat imaging and clinical follow up. We describe the first reported case in the literature of an iatrogenic CSF fistula caused by SMDIT, an unusual and potentially fatal complication, and its surgical management.

SIMILAR CASES PUBLISHED

0

CONFLICT OF INTEREST

None.

摘要

未标注

下鼻甲黏膜下透热疗法（SMDIT）是控制下鼻甲肥大的一种普遍安全的手术。我们报告一例在另一机构进行SMDIT后颅颈交界处脑脊液（CSF）漏的病例。一名27岁男性在接受SMDIT 3周后出现脑膜炎和鼻后漏的症状和体征。鼻内镜检查和影像学检查显示颅颈交界处有鼻咽部脑脊液瘘。经鼻内镜进行了修复和重建，复查影像学检查及临床随访均未复发。我们描述了文献中首例由SMDIT引起的医源性脑脊液瘘病例，这是一种罕见且可能致命的并发症及其手术治疗方法。

已发表的类似病例

0

利益冲突

无。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/458b/6074370/83654926039c/asm-2-143f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/458b/6074370/43ea49770e77/asm-2-143f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/458b/6074370/b3071620f375/asm-2-143f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/458b/6074370/77e30d41e01a/asm-2-143f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/458b/6074370/83654926039c/asm-2-143f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/458b/6074370/43ea49770e77/asm-2-143f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/458b/6074370/b3071620f375/asm-2-143f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/458b/6074370/77e30d41e01a/asm-2-143f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/458b/6074370/83654926039c/asm-2-143f4.jpg

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GMS Curr Top Otorhinolaryngol Head Neck Surg. 2013 Dec 13;12:Doc06. doi: 10.3205/cto000098.
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J Clin Neurosci. 2013 Apr;20(4):587-92. doi: 10.1016/j.jocn.2012.03.042. Epub 2013 Jan 11.
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World Neurosurg. 2010 Dec;74(6):583-602. doi: 10.1016/j.wneu.2010.06.033.
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Endoscopic transnasal approach to the craniocervical junction.内镜经鼻入路至颅颈交界区。
Skull Base. 2010 May;20(3):199-205. doi: 10.1055/s-0029-1246220.
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Endoscopic endonasal repair of anterior skull base non-traumatic cerebrospinal fluid leaks, meningoceles, and encephaloceles.内镜经鼻颅底非创伤性脑脊液漏、脑膜膨出和脑膨出修复。
J Neurosurg. 2010 Nov;113(5):961-6. doi: 10.3171/2009.10.JNS08986. Epub 2009 Nov 20.
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