Mona Moudi Merlin, Sutikno Budi
Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.
Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Academic Hospital, Surabaya, Indonesia.
Int J Surg Case Rep. 2021 Dec;89:106594. doi: 10.1016/j.ijscr.2021.106594. Epub 2021 Nov 12.
Cerebrospinal fluid (CSF) leak that occurred in the lateral sphenoid sinus is a rare and difficult case. This paper aims to report a case of defect closure in the lateral recess of the sphenoid sinus endoscopically with a transpterygoid approach.
A 38-year-old Indonesian woman reported a CSF leak, and identified a defect in the lateral recess of the left sphenoid sinus. CSF leak was repaired with endoscopic transethmoid-pterygoid or transpterygoid endoscopic surgery and no CSF leak was found. The surgical procedure was successful even though it was only performed by an otorhinolaryngologist.
Endoscopic transethmoid-pterygoid or transpterygoid endoscopic surgery is effective in repairing defects in the lateral recess of the sphenoid sinus in which surgical procedure is performed by a single otorhinolaryngologist.
Endoscopic transpterygoid approach gained access to lateral site of sphenoid sinus was an effective approach in managing CSF leak of lateral sphenoid recess. Closure of the defect using a bone graft and mucosa of the middle turbinate was proven to be effective. It had been carried out successfully in Indonesia.
蝶窦外侧壁脑脊液漏是一种罕见且棘手的病例。本文旨在报告1例经翼突入路鼻内镜下蝶窦外侧隐窝缺损修补术。
一名38岁的印度尼西亚女性出现脑脊液漏，发现左侧蝶窦外侧隐窝有缺损。通过鼻内镜经筛-翼突或经翼突入路手术修复脑脊液漏，术后未再发现脑脊液漏。尽管该手术仅由一名耳鼻喉科医生实施，但手术过程成功。
鼻内镜经筛-翼突或经翼突入路手术在修复蝶窦外侧隐窝缺损方面是有效的，且该手术可由单一耳鼻喉科医生完成。
经翼突入路鼻内镜可到达蝶窦外侧部位，是治疗蝶窦外侧隐窝脑脊液漏的有效方法。使用骨移植和中鼻甲黏膜封闭缺损被证明是有效的。该手术已在印度尼西亚成功开展。
