A prospective study of CSF rhinorrhoea and outcomes of endoscopic closure.

Nallasivam, M (2009) A prospective study of CSF rhinorrhoea and outcomes of endoscopic closure. Masters thesis, Madras Medical College, Chennai.

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Abstract

Cerebrospinal fluid (CSF) rhinorrhoea is the leakage of cerebrospinal fluid from the anterior cranial skull base subarachnoid space into the nasal cavity due to a defect in the duramater, bone and mucosa. CSF rhinorrhoea involves breach of large number of anatomical structure, viz. duramater, arachnoid, the skull base, and the mucosa of the nasal cavities and the paranasal sinuses. The main surgical approaches for the surgical repair of CSF leaks are intracranial and extracranial. In our prospective study 22 patients with CSF rhinorrhoea who failed medical and conservative management underwent endoscopic closure of the defect with autologous graft in our Upgraded Institute of Otorhinolaryngology, Government General Hospital attached to Madras Medical College. The socio demographic data and the outcomes of the procedure were analysed and discussed. It is not our intention to compare the results of one approach with another but rather to describe our experience,in the management of CSF rhinorrhoea. Endoscopic closure of CSF rhinorrhoea is strongly recommended. It is safe, simple and with high success rate. To conclude, recent advances in nasal endoscopic surgery in the anterior skull base areas have made it the procedure of choice for the repair of CSF rhinorrhoea.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Cerebrospinal fluid; rhinorrhoea; endoscopic closure
Subjects: MEDICAL > Otolaryngology
Depositing User: Devi S
Date Deposited: 04 Jul 2017 06:19
Last Modified: 04 Jul 2017 06:19
URI: http://repository-tnmgrmu.ac.in/id/eprint/883

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