Endoscopic transpterygoid approach to repair lateral sphenoid recess cerebrospinal fluid leak by multilayered reconstruction

doi:10.1016/j.anorl.2021.06.010

中山醫學大學機構典藏 CSMUIR > 中山醫學大學研究成果 > 期刊論文 > Item 310902500/23951

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题名:	Endoscopic transpterygoid approach to repair lateral sphenoid recess cerebrospinal fluid leak by multilayered reconstruction
作者:	Chen, PF;Yip, CM;Lin, YH
关键词:	cerebrospinal fluid leak;Encephalocele;Sphenoid sinus lateral recess;Endoscope;Transpterygoid approach;Multilayered reconstruction;YO-IFOSI;FOSa
日期:	2021
上传时间:	2022-08-05T09:45:27Z (UTC)
出版者:	ELSEVIER MASSON, CORP OFF
ISSN:	1879-7296
摘要:	Cerebrospinal fluid (CSF) leak and encephalocele from the middle cranial fossa into the sphenoid sinus lateral recess (SSLR) is a rare condition. It is often associated with obesity, female sex, well-pneumatized sinus, and prolonged intracranial hypertension. Endoscopic repair has emerged as the mainstay treatment with a success rate increasing to over 90% by refining reconstruction methods and controlling intracranial pressure. Here, we describe how a female with SSLR CSF leak and encephalocele successfully managed with endoscopic transpterygoid approach and multilayered repair. The defect was closed using four indifferent tissues, including the duragen patch, sinus mucosal flaps, the middle turbinate bone, and free mucosa flap, from the inside out. The patient had an uneventful postsurgical course and remained disease-free during the 9-month follow-up. To conclude, the technique of using sinus mucosal flaps in the context of multilayered reconstruction might be a useful method to repair CSF leak. (C) 2021 Elsevier Masson SAS. All rights reserved.
URI:	http://dx.doi.org/10.1016/j.anorl.2021.06.010 https://www.webofscience.com/wos/woscc/full-record/WOS:000719643000011 https://ir.csmu.edu.tw:8080/handle/310902500/23951
關聯:	EUROPEAN ANNALS OF OTORHINOLARYNGOLOGY-HEAD AND NECK DISEASES ,2021,v138 , P135-136
显示于类别:	[中山醫學大學研究成果] 期刊論文

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