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Updated: Oct 23, 2025

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
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Dural Bleeding After Endoscopic Sinus Surgery.

Jeffrey D Suh1, Jonathan Raskin2,3, Michela Borrelli3,4

  • 1155697University of California, Los Angeles Department of Head and Neck Surgery, Los Angeles, CA, USA.

Ear, Nose, & Throat Journal
|August 24, 2021
PubMed
Summary
This summary is machine-generated.

An 80-year-old female experienced extensive dural bleeding post-endoscopic sinus surgery. A combination of endoscopic bipolar, DuraGen Plus, and DuraMatrix effectively controlled the significant dural hemorrhage.

Keywords:
dural bleedinghemorrhageskull base

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Area of Science:

  • Neurosurgery
  • Otolaryngology

Background:

  • Endoscopic sinus surgery (ESS) is a common procedure.
  • Dural tears and subsequent hemorrhage are potential complications of ESS.

Observation:

  • An 80-year-old female patient developed an extensive dural bleed after undergoing ESS.
  • The bleeding was significant and required immediate intervention.

Findings:

  • A literature review identified various surgical tools and materials for treating dural hemorrhage.
  • The authors detail their preferred technique using endoscopic bipolar cautery, DuraGen Plus, and DuraMatrix.
  • This combination achieved effective hemostatic regulation and cessation of bleeding.

Implications:

  • This case highlights a successful management strategy for post-ESS dural bleeding.
  • The described technique offers a viable option for controlling significant intraoperative or postoperative dural hemorrhage.
  • Further studies may validate this combined approach for broader application in neurosurgical and otolaryngological procedures.