Endoscopic endonasal repair of spontaneous CSF fistulae.

Tormenti, Matthew J; Paluzzi, Alessandro; Pinheiro-Nieto, Carlos; Fernandez-Miranda, Juan C; Snyderman, Carl H; Gardner, Paul A · J Neurosurg · 2012

case_report · Level V

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Abstract

The authors present a fully endoscopic endonasal repair of a spontaneous CSF leak caused by a defect in the anterior fossa floor. Patients were positioned supine in a Mayfield headholder in slight extension. A complete ethmoidectomy was performed to expose the defect. The middle turbinate was removed to increase visualization and allow for more working room. The defect was identified and exposed. A nasoseptal flap was raised and placed over the defect. A free-mucosal graft fashioned from the removed middle turbinate was placed on the nasoseptal donor site. The video can be found here: http://youtu.be/gAN2cvQVXCE.

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