Calcaterra T C, Moseley J I, Rand R W
West J Med. 1977 Oct;127(4):279-83.
Cerebrospinal rhinorrhea is an uncommon complication of head trauma or of diverse types of intracranial diseases. Because of the risk of meningitis, this condition warrants immediate attention. If the leak fails to stop spontaneously in a short time, the precise site of the leak must be ascertained and surgical repair attempted. For the past 50 years craniotomy has been the principal operative approach; however, this method carries the risk of significant morbidity and protracted hospital stays, as well as a disappointing incidence of persistent leak. During the past decade extracranial operations for dural repair have been devised, and experience in the management of patients by a variety of such procedures illustrates the success of these operations.
脑脊液鼻漏是头部外伤或各种颅内疾病的一种罕见并发症。由于存在脑膜炎风险，这种情况需要立即引起关注。如果漏液在短时间内未能自行停止，必须确定漏液的精确部位并尝试进行手术修复。在过去的50年里，开颅手术一直是主要的手术方法；然而，这种方法存在显著发病风险和住院时间延长的问题，以及持续性漏液发生率令人失望的情况。在过去十年中，已经设计出用于硬脑膜修复的颅外手术，通过各种此类手术对患者进行管理的经验证明了这些手术的成功。
