Endoscopic Cerebral Spinal Fluid (CSF) - Rhinorrhea - Our Clinical Expreriences

Key Findings & Data:Methods A retrospective study of 30 patients with CSF rhinorrhea managed endoscopically from 2004 - 2014 in ENT Department of Gazi University.

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Conclusion & Impact:Successful results could be obtained by appropriate management and endoscopic techniques.

🔬Design:Research Article

📍Scope:2004 - 2014 Verileri

⚙️Variables:Domain Parameters

Abstract

Objective: We shared our experience of endoscopic repair of cerebrospinal fluid (CSF) rhinorrhea. Methods A retrospective study of 30 patients with CSF rhinorrhea managed endoscopically from 2004 - 2014 in ENT Department of Gazi University. The cause of CSF rhinorrhea, localization and size of the defect, repairstyle, recurrence have been investigated. Results: Etiologically, 19 patients are traumatic and 11 patients are non traumatic. Six patients are caused by iatrogenically and half of them are caused by hypophysectomy. 20 % of patients have a history of meningitis before admission to our clinic. Sphenoid sinus, ethmoid roof and frontal recess are the most seen regions of the defects. There was recurrence in 3 patients endoscopically managed. Conclusion: Because of the advance of endoscopic sinus surgery, endoscopic intracranial procedures and anterior skull base surgery; CSF Rhinorrhea could come across frequently by ENT surgeons. Successful results could be obtained by appropriate management and endoscopic techniques.

Özet

Amaç: Beyin Omurilik Sıvısı (BOS) Rinorenin endoskopik olarak onarımı konusundaki deneyimlerimizi ve önerilerizi paylaşmaktır. Yöntem: Retrospektif olarak 2004 - 2014 yılları arasında Gazi Üniversitesi Kulak Burun Boğaz Kliniği'nde tedavi edilen 30 hastada BOS rinore nedeni, defektin yeri ve büyüklüğü, onarım şekli, rekürrensin araştırılmasıdır. Bulgular: BOS Rinore nedeniyle endoskopik olarak opere edilen 30 hastanın 19 tanesi travmatik ve 11 tanesi non - travmatik nedenlere bağlıdır. İyatrojenik nedenlerle BOS rinore ile sonuçlanan 6 hastanın yarısı hipofiz cerrahisi sonucu oluşmuştur. Hastaların % 20 sinin başvuru öncesinde menenjit öyküsü mevcuttur. Defekt yeri en sık sfenoid sinüs, ethmoid çatı ve frontal recess bölgesindedir. Endoskopik onarım yapılan 3 hastada nüks görülmüştür. Sonuç: BOS Rinore; endoskopik sinüs cerrahisi, endoskopik intrakraniyel işlemler ve ön kafa tabanı cerrahisinin sıklaşması sonrası KBB hekimleri tarafından sıkla karşılaşılan bir durum olmaya başlamıştır.Uygun tanı metotları ve endoskopik yaklaşımlarla başarılı sonuçlara ulaşılabilmektedir

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Cite This Article

KIZIL, Y., DİLCİ, A., İLERİ, F., USLU, S., YILMAZ, M., CEYLAN, A. (2022). Endoscopic Cerebral Spinal Fluid (CSF) - Rhinorrhea - Our Clinical Expreriences. Gazi Medical Journal, Cilt: 26 - Sayı: 4, 191–193. https://ajindex.com/articles/520050

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