Yoon J H, Lee J G, Kim S H, Park I Y
Department of Otorhinolaryngology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Rhinology. 1995 Dec;33(4):208-11.
Iatrogenic cerebrospinal fluid (CSF) rhinorrhoea can occur after intranasal ethmoidectomy or removal of pituitary tumours using a transsphenoidal approach, and is categorized as intraoperative or post-operative according to the time of onset. From 1989 to 1992 at Severance Hospital, Seoul, Korea, we successfully repaired nine cases of CSF rhinorrhoea using fibrin-glue-coated fascia or inferior turbinate mucosa under a surgical microscope. Neither recurrent leaks nor post-operative complications were associated with the free graft. Our results indicate that repair of CSF rhinorrhoea using free grafts under a surgical microscope is as successful as using a local flap, and it is a simple and very effective method in managing CSF rhinorrhoea. The surgical technique is discussed in detail.
医源性脑脊液鼻漏可发生于鼻内筛窦切除术或经蝶窦入路切除垂体肿瘤后，根据发病时间分为术中或术后。1989年至1992年，在韩国首尔Severance医院，我们在手术显微镜下使用纤维蛋白胶包被的筋膜或下鼻甲黏膜成功修复了9例脑脊液鼻漏。游离移植物未出现复发性漏液或术后并发症。我们的结果表明，在手术显微镜下使用游离移植物修复脑脊液鼻漏与使用局部皮瓣一样成功，并且是治疗脑脊液鼻漏的一种简单且非常有效的方法。本文详细讨论了手术技术。
