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Cerebrospinal fluid leakage during endscopic forehead lifting
I P Hwang1, D V Pratt, D R Jordan
1Division of Ophthalmology, John Moran Eye Center, University of Utah, Salt Lake City, USA.
Purpose:
To report a case of endoscopic brow lift in which cerebrospinal fluid leakage was encountered.
Method:
A 69-year-old otherwise healthy man underwent endoscopic forehead lifting.
Results:
An area of strong adherence was encountered in the area of the left superior paracentral scalp incision. As the adherence was released, clear fluid extruded (cerebrospinal fluid) and a burr hole was discovered. Absorbable gelatin sponge was placed over the dural defect and burr hole, and closure of the endoscopic scalp incisions was accomplished.
Conclusion:
Caution is suggested in performing this procedure when a patient has any history of a head trauma.