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Arch Otolaryngol Head Neck Surg. 1998 Oct;124(10):1125-30.

Extracranial repair of pediatric traumatic cerebrospinal fluid rhinorrhea.

Author information

1
Department of Otolaryngology--Head and Neck Surgery, Children's Hospital of Los Angeles and the University of Southern California School of Medicine, USA. mng@welchlink.welch.jhu.edu

Abstract

OBJECTIVE:

To examine the methods of extracranial repair of traumatic defects in the cribriform plate and ethmoid roof resulting in persistent cerebrospinal fluid (CSF) rhinorrhea in pediatric patients.

DESIGN:

Retrospective case series.

SETTING:

A single-institution, tertiary care, pediatric hospital.

PATIENTS:

Four children, ranging in age from 3 1/2 to 9 years, who sustained fractures in the cribriform plate or ethmoid roof.

INTERVENTION:

Transnasal endoscopic repair in 4 patients, with 2 patients also undergoing external ethmoidectomy because of the large bony defect and the need for further exposure for repair.

MAIN OUTCOME MEASURES:

Time free from CSF leaks or recurrence, meningitis, and other postoperative complications.

RESULTS:

All patients except 1 have been free of recurrent CSF leaks, meningitis, and other postoperative complications. The 3 patients who solely underwent the extracranial approach did not experience the complications of the traditional intracranial approach.

CONCLUSIONS:

In a select group of pediatric patients, the extracranial approach for the repair of CSF leaks is appropriate. Successful use of an extracranial approach in 3 of 4 patients supports this method.

PMID:
9776191
DOI:
10.1001/archotol.124.10.1125
[Indexed for MEDLINE]

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