Chandrakiran C, Ishwarya R, Rakshitha R, Luckose Rini, Khanapure Kiran, Patil Sanjay B, Reddy Harshavardhan N, Surya Prakash D R
Department of ENT, M.S. Ramaiah Medical College, M.S. Ramaiah nagar, Mathikere, Bangalore, 560054 India.
Department of Neurosurgery, M.S. Ramaiah Medical College, M.S. Ramaiah nagar, Mathikere, Bangalore, 560054 India.
Indian J Otolaryngol Head Neck Surg. 2022 Oct;74(Suppl 2):1328-1333. doi: 10.1007/s12070-021-02462-7. Epub 2021 Feb 25.
To analyse the outcome of transnasal endoscopic repair of CSF Rhinorrhea in a tertiary care centre. This is a retrospective study conducted on 81 patients who underwent CSF Rhinorrhea repair in a tertiary care hospital for a period of 11 years. Following confirmation of diagnosis using bio-chemical and radiological investigations, all patients underwent transnasal endoscopic repair of CSF Rhinorrhea using a multilayer graft. Patients were followed up for 6 months. The most common etiology in our study was spontaneous CSF rhinorrhea (60.49%) and subjects with BMI > 25.5 kg/m2 were more prone to it. Cribriform plate was found to be the most frequent site of leak in our study (58.02%), followed by fovea ethmoidalis (12.35%). Overall success rate was 96.30%. Transnasal endoscopic approach for cerebrospinal fluid rhinorrhea repair shows good success rate and also offers the advantages of better visualization and identification of site of leak, less complications, rapid postoperative recovery, and low recurrence rate. Transnasal endoscopic CSF Rhinorrhea repair has shown good results in terms of low recurrence rates and high patient satisfaction among other advantages. Hence this approach should be commonly used for CSF rhinorrhea repair by surgeons.
分析在一家三级医疗中心经鼻内镜修复脑脊液鼻漏的结果。这是一项回顾性研究，对一家三级医疗医院11年间接受脑脊液鼻漏修复的81例患者进行。在通过生化和放射学检查确诊后，所有患者均采用多层移植物进行经鼻内镜脑脊液鼻漏修复。对患者进行了6个月的随访。我们研究中最常见的病因是自发性脑脊液鼻漏（60.49%），体重指数（BMI）>25.5kg/m²的受试者更易发生。在我们的研究中，筛板被发现是最常见的漏口部位（58.02%），其次是筛骨水平部（12.35%）。总体成功率为96.30%。经鼻内镜治疗脑脊液鼻漏显示出良好的成功率，并且具有更好地可视化和识别漏口部位、并发症少、术后恢复快以及复发率低等优点。经鼻内镜脑脊液鼻漏修复在低复发率和高患者满意度等方面显示出良好效果。因此，这种方法应由外科医生普遍用于脑脊液鼻漏修复。
