Endoscopic Management of Cerebrospinal Fluid Rhinorrhea. (English)

Cerebrospinal fluid (CSF) rhinorrhea has become a relatively common disease due to increasing incidents of traffic accidents and endoscopic sinus surgeries, including skull base surgery. Improvements in surgical skills and endoscopic equipment have contributed to broadening the indications for endoscopic management of CSF rhinorrhea. Precise identification of the etiology and leakage site is important for the treatment of CSF rhinorrhea. A variety of sealing techniques, such as overlay, underlay, and bath-plug, showed similar surgical outcomes. In addition, the type of graft material did not make a difference in the surgical results. Therefore, thechoice of technique and graft material depends on the judgment of the surgeon. Endoscopic management of CSF rhinorrhea demonstrated anexcellent success rate and low morbidity. There were only few complications during endoscopic management of CSF rhinorrhea and these were not serious. In conclusion, endoscopic management is effective for CSF rhinorrhea and should be initially considered for the treatment of CSF leakage. [ABSTRACT FROM AUTHOR]

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