TY - JOUR
T1 - The subcranial approach for the management of cerebrospinal rhinorrhea
AU - Fliss, Dan M.
AU - Zucker, Gideon
AU - Amir, Aharon
AU - Cohen, Jacob T.
AU - Gatot, Albert
PY - 2000/12
Y1 - 2000/12
N2 - Because of the likelihood of intracranial complications, optimal treatment for cerebrospinal fluid (CSF) fistula is to have the leak closed. We elected to use the extended subcranial approach in a group of 8 patients with CSF rhinorrhea. Selection criteria included large defects of the anterior skull base (>15 mm), defects not accessible by endoscopes, fistula sites that could not be localized preoperatively, and multiple and transverse fractures of the cribiform area. Resolution of rhinorrhea was achieved in all patients. Anosmia was the only postoperative complication. The indication for this approach, the surgical technique, and various aspects concerning reconstruction are highlighted.
AB - Because of the likelihood of intracranial complications, optimal treatment for cerebrospinal fluid (CSF) fistula is to have the leak closed. We elected to use the extended subcranial approach in a group of 8 patients with CSF rhinorrhea. Selection criteria included large defects of the anterior skull base (>15 mm), defects not accessible by endoscopes, fistula sites that could not be localized preoperatively, and multiple and transverse fractures of the cribiform area. Resolution of rhinorrhea was achieved in all patients. Anosmia was the only postoperative complication. The indication for this approach, the surgical technique, and various aspects concerning reconstruction are highlighted.
UR - http://www.scopus.com/inward/record.url?scp=77950202963&partnerID=8YFLogxK
U2 - 10.1053/otot.2000.19692
DO - 10.1053/otot.2000.19692
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AN - SCOPUS:77950202963
SN - 1043-1810
VL - 11
SP - 294
EP - 298
JO - Operative Techniques in Otolaryngology - Head and Neck Surgery
JF - Operative Techniques in Otolaryngology - Head and Neck Surgery
IS - 4
ER -