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Endoscopic CSF rhinorrhea closure: our experience in 267 cases
Milind V Kirtane1, K Gautham, Shraddha R Upadhyaya
1Department of ENT and Head Neck Surgery, Seth GS Medical College and KEM Hospital, Parel, Mumbai, India. drmvk@hotmail.com
Summary
Endoscopic sinus surgery effectively treats cerebrospinal fluid rhinorrhea (CSFR), achieving a 96.63% closure rate in the first instance. Revision surgery further improved success to 98.88% in this study of 267 patients.
Area of Science:
- Otolaryngology
- Neurosurgery
- Endoscopic Surgery
Background:
- Cerebrospinal fluid rhinorrhea (CSFR) is a condition requiring surgical intervention.
- Endoscopic sinus surgery has emerged as a preferred treatment for CSFR.
Purpose of the Study:
- To evaluate the efficacy of endoscopic sinus surgery for treating cerebrospinal fluid rhinorrhea (CSFR).
Main Methods:
- A cohort of 267 patients with CSFR underwent endoscopic treatment.
- Diagnosis involved CT, MRI, and beta-2 transferrin levels.
- Fascia lata and fat grafts were used for defect repair, with a minimum 6-month follow-up.
Main Results:
- Successful endoscopic closure of CSFR was achieved in 258 patients (96.63%).
- Nine patients required revision surgery, with 6 treated endoscopically and 2 via neurosurgery.
- Overall success rate after revision reached 98.88%.
Conclusions:
- The transnasal endoscopic approach demonstrates excellent results for CSFR treatment.
- This technique is recommended as the optimal surgical method for both primary and revision CSFR management.