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Outcome of Endoscopic Endonasal Repair of CSF Rhinorhea using Fascia Lata Graft


Affiliations
1 Gazi AL-Hariri Hospital for specialised surgeries, Medical City, Baghdad, Iraq
2 Kufa University, College of Medicine, Iraq
3 Gazi AL-Hariri Hospital for specialised surgeries, Medical City, Baghdad, Iraq
     

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Cerebrospinal fluid rhinorrhea occur when there is communication between skull base and the nasal cavity. Nowadays endoscopic endonasal repair of CSF rhinorrhea become the preferred surgical intervention.

Setting:ENT department at Ghazi AL Hariri Hospital for specialised surgeries, Medical City, Baghdad, Iraq.

Aim: To assess the effectiveness of fascia lata as sealing graft in the endoscopic endonasal repair of CSF rhinorrhea.

Patients and Method:Fifteen patients present to our department with possible clinical diagnosis of CSF rhinorrhea. The patients submitted to full history, examination including nasal endoscopy, radiological investigation (CT and MRI) of the nose and paranasal sinuses and skull base and CSF analysis. Operative technique was endoscopic endonasal repair using fascia lata graft .With monthly follow-up.

Results: Successful rate noted in 93% of the patients .No recurrence of meningitis attacks among those who reported meningitis on their presenting illness.

Conclusion: Endoscopic endonasal repair of CSF rhinorrhea has less operative and postoperative complication. Fascia lata graft offers a good choice for the repair.


Keywords

CSF Rhinorrhea,Fascia Lata Graft and Endoscopic Endonasal Repair.
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  • Outcome of Endoscopic Endonasal Repair of CSF Rhinorhea using Fascia Lata Graft

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Authors

Hani Musa Al-Akbi
Gazi AL-Hariri Hospital for specialised surgeries, Medical City, Baghdad, Iraq
Ahmed Adhab Mayan
Kufa University, College of Medicine, Iraq
Ammar Jabbar Najm Alkelabi
Gazi AL-Hariri Hospital for specialised surgeries, Medical City, Baghdad, Iraq
Laith Ali Mahmood
Gazi AL-Hariri Hospital for specialised surgeries, Medical City, Baghdad, Iraq

Abstract


Cerebrospinal fluid rhinorrhea occur when there is communication between skull base and the nasal cavity. Nowadays endoscopic endonasal repair of CSF rhinorrhea become the preferred surgical intervention.

Setting:ENT department at Ghazi AL Hariri Hospital for specialised surgeries, Medical City, Baghdad, Iraq.

Aim: To assess the effectiveness of fascia lata as sealing graft in the endoscopic endonasal repair of CSF rhinorrhea.

Patients and Method:Fifteen patients present to our department with possible clinical diagnosis of CSF rhinorrhea. The patients submitted to full history, examination including nasal endoscopy, radiological investigation (CT and MRI) of the nose and paranasal sinuses and skull base and CSF analysis. Operative technique was endoscopic endonasal repair using fascia lata graft .With monthly follow-up.

Results: Successful rate noted in 93% of the patients .No recurrence of meningitis attacks among those who reported meningitis on their presenting illness.

Conclusion: Endoscopic endonasal repair of CSF rhinorrhea has less operative and postoperative complication. Fascia lata graft offers a good choice for the repair.


Keywords


CSF Rhinorrhea,Fascia Lata Graft and Endoscopic Endonasal Repair.



DOI: https://doi.org/10.37506/v14%2Fi1%2F2020%2Fijfmt%2F193060