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Brazilian Journal of Otorhinolaryngology
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Endoscopic repair of cerebrospinal fluid rhinorrhea

Authors: Kljajić, Vladimir; Vuleković, Petar; Vlaški, Ljiljana; Savović, Slobodan; Dragičević, Danijela; Papić, Vladimir;

Endoscopic repair of cerebrospinal fluid rhinorrhea

Abstract

Nasal liquorrhea indicates a cerebrospinal fluid fistula, an open communication between the intracranial cerebrospinal fluid and the nasal cavity. It can be traumatic and spontaneous.The aim of this study was to assess the outcome of endoscopic repair of cerebrospinal fluid fistula using fluorescein.This retrospective study included 30 patients of both sexes, with a mean age of 48.7 years, treated in the period from 2007 to 2015. All patients underwent lumbar administration of 5% sodium fluorescein solution preoperatively. Fistula was closed using three-layer graft and fibrin glue.Cerebrospinal fluid fistulas were commonly located in the ethmoid (37%) and sphenoid sinus (33%). Most patients presented with traumatic cerebrospinal fluid fistulas (2/3 of patients). The reported success rate for the first repair attempt was 97%. Complications occurred in three patients: one patient presented with acute hydrocephalus, one with reversible encephalopathy syndrome on the fifth postoperative day with bilateral loss of vision, and one patient was diagnosed with hydrocephalus two years after the repair of cerebrospinal fluid fistula.Endoscopic diagnosis and repair of cerebrospinal fluid fistulas using fluorescein intrathecally has high success rate and low complication rate.

Keywords

Adult, Male, Fistula, Fístula, Cerebrospinal Fluid Rhinorrhea, Young Adult, Procedimentos cirúrgicos nasais, Humans, Treatment outcome, Cerebrospinal fluid rhinorrhea, Aged, Retrospective Studies, Endoscopy, Middle Aged, Fluoresceins, Treatment Outcome, RF1-547, Otorhinolaryngology, Desfecho do tratamento, Neuroendoscopy, Fluorescein, Original Article, Female, Endoscopia, Fluoresceína, Nasal surgical procedures, Rinorreia de líquido cerebrospinal

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    selected citations
    These citations are derived from selected sources.
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    15
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Top 10%
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
15
Top 10%
Top 10%
Top 10%
Green
gold