Cerebrospinal fluid: implications in oral and maxillofacial surgery
| Autor: | W. Scott Jenkins, Tirbod T. Fattahi, Richard H. Haug, M.Todd Brandt |
|---|---|
| Rok vydání: | 2002 |
| Předmět: |
medicine.medical_specialty
Cerebrospinal Fluid Rhinorrhea Fistula Oral Surgical Procedures Cerebrospinal fluid medicine Humans Clinical significance Cerebrospinal Fluid Postoperative Care rhinorrhea medicine.diagnostic_test business.industry Cerebrospinal Fluid Otorrhea Meninges medicine.disease Cerebrospinal Fluid Shunts Endoscopy Surgery medicine.anatomical_structure Otorhinolaryngology Oral and maxillofacial surgery Etiology Oral Surgery medicine.symptom Intracranial Hypertension business |
| Zdroj: | Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons. 60(9) |
| ISSN: | 0278-2391 |
| Popis: | Cerebrospinal fluid (CSF) is an essential component of the central nervous system. It serves as a cushion and lubricant for the cerebral hemispheres, the cerebellum, and the layers of meninges. CSF pathology, including leaks and fistulas, has been documented in a variety of clinical situations, ranging from trauma to skull base surgery, including functional endoscopy and spontaneous. Galen, in the second century AD, was the first to document a description of a CSF fistula (identified as rhinorrhea).1,2 The first correlation between CSF rhinorrhea and craniomaxillofacial trauma was made in the seventeenth century by Bidloo the Elder.3-5 Before World War I, the etiology of CSF leaks was believed to be primarily spontaneous, but after the war, the majority were then identified as rhinorrhea secondary to trauma.2 CSF fistula is a serious and potentially fatal condition. Successful management requires a thorough understanding of the pertinent anatomy and pathophysiolgy. The purpose of this article is to review the anatomy and physiology of CSF, elaborate on the clinical significance of CSF fistulas, and highlight the etiology and management of CSF leaks as seen in oral and maxillofacial surgery. |
| Databáze: | OpenAIRE |
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