Vivostat®: an autologous fibrin sealant as useful adjunct in endoscopic transnasal CSF-leak repair
| Autor: | Claus Gerstenberger, Michael Mokry, Stefan Edlinger, Heinz Stammberger, Hannes Braun, Verena Gellner, Wolfgang Koele, Peter Valentin Tomazic |
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| Rok vydání: | 2014 |
| Předmět: |
Male
Natural Orifice Endoscopic Surgery Comparative Effectiveness Research medicine.medical_specialty Leak Cerebrospinal Fluid Rhinorrhea Fibrin Tissue Adhesive Tertiary care Fibrin Postoperative Complications otorhinolaryngologic diseases medicine Humans Fibrin glue Retrospective Studies Fixation (histology) Skull Base biology business.industry Sealant General Medicine Middle Aged Surgery Treatment Outcome surgical procedures operative Otorhinolaryngology Skull base surgery biology.protein Referral center Female Tissue Adhesives business |
| Zdroj: | European Archives of Oto-Rhino-Laryngology. 272:1423-1427 |
| ISSN: | 1434-4726 0937-4477 |
| DOI: | 10.1007/s00405-014-3230-0 |
| Popis: | The benefit of fibrin glue for reduction of postoperative CSF-leaks after endoscopic skull base surgery is not clearly evident in literature. However, its use is supposed to be beneficial in fixing grafting material. As of today there is no specific data available for otolaryngological procedures. A retrospective data analysis at a tertiary care referral center on 73 patients treated endoscopically transnasally for CSF-leaks at the ENT-department Graz between 2009 and 2012 was performed. Primary closure rate between conventional fibrin glue and autologous fibrin glue were analyzed. The Vivostat(®) system was used in 33 CSF-leak closures and in 40 cases conventional fibrin glue was used. Comparing the two methods the primary closure rate using the autologous Vivostat(®) system was 75.8 and 85.0 % with conventional fibrin glue. The secondary closure the rates were 90.9 % with Vivostat(®) 92.5 % with conventional fibrin glue. The Vivosat(®) system is a useful adjunct in endoscopic CSF-leak closure. Its advantages over conventional fibrin glue are its application system for fixation of grafting material particularly in underlay techniques. Despite this advantage it cannot replace grafting material or is a substitute for proper endoscopic closure which is reflected by the closure rates. |
| Databáze: | OpenAIRE |
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