A Sandwich Technique for Prevention of Cerebrospinal Fluid Rhinorrhea and Reconstruction of the Sellar Floor after Microsurgical Transsphenoidal Pituitary Surgery
| Autor: | Marcel Seiz, Jochen Obernauer, Johannes Kerschbaumer, Christian F. Freyschlag, Claudius Thomé, Stephanie Goerke |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Leak medicine.medical_specialty Microsurgery Sphenoid Sinus Cerebrospinal Fluid Rhinorrhea medicine.medical_treatment Young Adult Lumbar Postoperative Complications Medicine Humans Sella Turcica Sinus (anatomy) Sandwich technique Aged Retrospective Studies Transsphenoidal surgery Aged 80 and over Absorbable gelatin sponge rhinorrhea business.industry Middle Aged Plastic Surgery Procedures Surgery medicine.anatomical_structure Treatment Outcome Pituitary Gland Female Neurology (clinical) medicine.symptom business |
| Zdroj: | Journal of neurological surgery. Part A, Central European neurosurgery. 77(3) |
| ISSN: | 2193-6323 |
| Popis: | Background Cerebrospinal fluid (CSF) leaks are a well-known complication of transsphenoidal surgery. Several autologous and artificial grafts have been used to close the sellar floor in an attempt to prevent postoperative CSF rhinorrhea. Objective To evaluate and describe a sandwich technique to close the sellar floor using autologous bone, absorbable gelatin sponge, and coated collagen fleece. Methods We reviewed 50 consecutive patients between April 2010 and August 2011 who underwent transsphenoidal surgery ending with reconstruction of the sellar floor with a particular sandwich technique. Patients with an intraoperative CSF leak received an additional lumbar drain. Results There were no cases of CSF rhinorrhea at postoperative follow-up after 6 weeks and no revision surgery. Conclusion The proposed sandwich technique for closure of the sellar floor to the sphenoid sinus is a suitable alternative to autologous grafts and seems to be effective in preventing CSF rhinorrhea. |
| Databáze: | OpenAIRE |
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