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Management of Traumatic and Non-Traumatic Cerebrospinal Fluid Rhinorrhea-Experience from Three Southeast Asian
Farah Dayana Zahedi1, Somasundaram Subramaniam2,3, Pornthep Kasemsiri4
1Department of Otorhinolaryngology-Head & Neck Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur 56000, Malaysia.
International Journal of Environmental Research and Public Health
|November 11, 2022
Summary
Cerebrospinal fluid (CSF) rhinorrhea management is crucial. Non-traumatic leaks, often at the cribriform plate, are best treated with endoscopic surgery, achieving a 92.3% success rate.
Area of Science:
- Neurosurgery
- Otolaryngology
- Skull Base Surgery
Background:
- Cerebrospinal fluid (CSF) rhinorrhea presents significant management challenges.
- Prompt and accurate diagnosis is essential to prevent severe complications.
Purpose of the Study:
- To analyze patient demographics, etiologies, and defect locations in CSF rhinorrhea.
- To evaluate diagnostic imaging, skull base anatomy, and treatment outcomes.
- To identify optimal management strategies for CSF leaks.
Main Methods:
- Retrospective review of 15 CSF rhinorrhea cases over four years.
- Analysis of patient records, surgical techniques, and outcomes.
- Radiological assessment of skull base anatomy using Keros and Gera classifications.
Main Results:
- Non-traumatic CSF rhinorrhea was more common than traumatic.
- The cribriform plate was the most frequent leak site.
- Endonasal endoscopic repair achieved a 92.3% success rate.
Conclusions:
- Non-traumatic CSF leaks at the cribriform plate require prompt surgical intervention.
- Gera classification may be superior to Keros for risk assessment.
- Endonasal endoscopic surgery is the primary treatment modality for CSF rhinorrhea.
Keywords:
cerebrospinal fluid leakcerebrospinal fluid rhinorrheacribriform plateendoscopic surgical procedurerhinorrheaskull baseMore Related Videos
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