+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Endoscopic reconstruction of the anterior skull base in cerebrospinal rhinorrhea

, : Endoscopic reconstruction of the anterior skull base in cerebrospinal rhinorrhea. Otolaryngologia Polska 57(1): 75-79

Cerebrospinal rhinorrhea is a discharge of cerebrospinal fluid caused by the break continuity in dura mater and by bone defect in the base of anterior skull base. The pathological connections appear mainly in the regions of the skull base with the weaker bone structure (the roof of the frontal, ethmoid, sphenoid sinus and cribriform plate). The aim of the study was presenting the possibility of the endoscopic-surgical closing the fistula within the ethmoid roof. The E.N.T Department in Poznań treated 5 patients with cerebrospinal rhinorrhea. In four cases, cerebrospinal rhinorrhea was caused by operative trauma. In one case the rhinorrhea could not be established. All patients with traumatic rhinorrhea underwent operation treatment based on covering of the loss in dura mater with a piece of mucous membrane together with perichondrium of nasal septum or lyophilised dura. The material used for the plastic operation was sealed by tissue adhesive. In 2 cases rhinorrhea recurred. Using the endoscopic technique, after the identification the leak of the cerebrospinal fluid within ethmoid roof, the fistula has been reconstructed with use of the adipose tissue and temporal muscle fascia. Both cases led to complete recovery. Easy access, precision and accuracy of performance the surgery, the approach without external incision of the patient, makes the endoscopic technique very valuable method in treating rhinorrhea caused by the loss in ethmoid roof and cribriform plate.


PMID: 12741148

Other references

Bastenie P.A., 1966: Endocrine secretion of pancreas and pancreatic hormones title. Semaine des Hopitaux de Paris 42(46): 2785

Romero, D.; Chavkin, W.; Wise, P.H.; Hess, C.A.; VanLandeghem, K., 2001: State welfare reform policies and maternal and child health services: a national study. Welfare reform (Personal Responsibility and Work Opportunity Reconciliation Act of 1996) resulted in dramatic policy changes, including health-related requirements and the administrative separation of cash assistance from Medicaid. We were interes...

Hill, H., 1946: Deliquency, split mind, magistrate, doctor and parent. Medical Press: 22-24

Doerfler W.; Knebel D.; Klimkait T.; Langner K D.; Lichtenberg U.; Weisshaar B.; Weyer U., 1987: Species specificity and control mechanisms of viral promoters. Biological Chemistry Hoppe-Seyler 368(3): 177-178

Bakali, E.; McDonald, J.; Elliott, R.A.; Lambert, D.G.; Tincello, D.G., 2016: Cannabinoid receptor expression in the bladder is altered in detrusor overactivity. Immunohistochemical (IHC) evidence shows that cannabinoid receptors (CB) are expressed in human bladders and cannabinoid agonists are known to inhibit detrusor contractility. However, the mechanism for this inhibition remains unknown. In addition,...

Cuthbertson, E.M.; Johnson, M.C.; Gilfillan, R.S., 1965: Electrical anesthesia in surgical preparation for physiologic studies. Electrical anesthesia was induced in 75 mongrel dogs using direct current combined with an alternating rectangular wave applied in the midsagittal plane between the chin and the posterior parietal area with platinum-sponge electrodes. Duration of...

Tarnutzer, A.A.; Straumann, D., 2013: Progress in neuro-otology research in the last year. Herein, we summarize articles in the field of neuro-otology published in the Journal of Neurology over the last year. Topics included acute and chronic vertigo as well as auditory and ocular motor disorders. Characteristic lesion locations in Push...

Nahrwold, D.L., 2014: The American College of Surgeons publications: a brief history. Journal of the American College of Surgeons 218(3): 488-494

Borghesi, L., 2000: Do nematocytes determine nature or outcome of allogeneic contact in a colonial hydrozoan?. FASEB Journal 14(6): A1054, April 20

Valesini, G.; Iannuccelli, C.; Marocchi, E.; Pascoli, L.; Scalzi, V.; D.F.anco, M., 2007: Biological and clinical effects of anti-TNFalpha treatment. Tumor necrosis factor alpha (TNFalpha) is implicated in the pathogenesis of many chronic inflammatory diseases such as rheumatoid arthritis (RA), psoriasis and psoriatic arthritis (PsA), ankylosing spondylitis (AS), Crohn's disease, ulcerativ...