Endoscopic Repair of Cerebrospinal Fluid Rhinorrhea: Learning from Our Failures
| Autor: | Enzo Emanuelli, G. Delù, Giuseppe Di Giulio, Paolo Castelnuovo, Davide Locatelli, S. Mauri |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Adult
Male Leak medicine.medical_specialty Adolescent Cerebrospinal Fluid Rhinorrhea MEDLINE Treatment failure 03 medical and health sciences 0302 clinical medicine Humans Medicine Treatment Failure Child 030223 otorhinolaryngology Retrospective Studies rhinorrhea medicine.diagnostic_test business.industry Endoscopy Failure rate Retrospective cohort study Middle Aged Otorhinolaryngologic Surgical Procedures Surgery Otorhinolaryngology Child Preschool 030220 oncology & carcinogenesis Female medicine.symptom business |
| Zdroj: | Scopus-Elsevier Europe PubMed Central |
| ISSN: | 1539-6290 1050-6586 |
| DOI: | 10.1177/194589240101500509 |
| Popis: | Endoscopic repair of cerebrospinal fluid (CSF) rhinorrhea is becoming a common procedure. The purpose of this study was to perform a literature analysis centering cases of treatment failure and to review our 31 cases with a 1-year minimum follow-up. An extensive search of the literature was conducted, which focused on success rate, follow-up, diagnostic techniques, graft material used, failure rate, and comments on failures. A retrospective analysis of our 31 patients was carried out, and all cases were treated with the endoscopic approach with a 1-year minimum follow-up. From the literature analysis, the median success rate at the first endoscopic attempt is 90%. Our success rate was 87.1%. Failures were analyzed. A unique protocol for CSF leak diagnosis does not exist; we suggest our diagnostic algorithm. Graft material used depends on the authors’ experience, and based on this review of cases to date, did not significantly influence the success rate. The analysis of cases of failure shows that the majority of authors omit details. More research is needed to improve prevention of failures. |
| Databáze: | OpenAIRE |
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