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Treatment of traumatic cerebrospinal fluid rhinorrhea via extended extradural anterior skull base approach

Chinese Journal of Traumatology 2021年第5期24卷 280-285页

作者： Feng Zhang Tao Zeng Liang Gao Da-Ming Cui Ke Wang Zi-Jun Xu Xiang-Yuan Cao The Second Hospital of Zhang Jiagang Suzhou215600Jiangsu ProvinceChina Department of Neurosurgery Shanghai Tenth People's HospitalTongji University School of MedicineShanghai200072China Department of Radiology Shanghai Tenth People's HospitalTongji University School of MedicineShanghai200072China

To describe and assess the repair technique and perioperative management for cerebrospinal fluid(CSF)leak resulting from extensive anterior skull base fracture via extradural anterior skull base approach.;This was a retrospective review conducted at the Department of Neurosurgery of the Shanghai Tenth People's Hospital from January 2015 to April *** with traumatic CSF rhinorrhea resulting from extensive anterior skull base fracture treated surgically via extended extradural anterior skull base approach were included in this *** data of medical and radiological records,surgical approaches,repair techniques,peritoperative management,surgical outcome and postoperative follow-up were *** repair techniques were tailored to the condition of associated injuries of the scalp,bony and dura injuries and associated intracranial *** were followed up for the outcome of CSF leak and surgical *** were presented as frequency and percent.;Thirty-five patients were included in this *** patients'mean age was 33 years(range 11-71 years).Eight patients were treated surgically within 2 weeks;while the other 27 patients,with prolonged or recurrent CSF rhinorrhea,received the repair surgery at 17 days to 10 years after the initial *** mean overall length of follow-up was 23 months(range 3-65 months).All the patients suffered from frontobasal multiple *** basic repair tenet was to achieve watertight seal of the *** frontal pericranial flap alone was used in 20 patients,combined with temporalis muscle and/or its facia in 10 *** fascia lata graft was used instead in the rest 5 *** CSF leak was found in all the patients at *** was no surgical mortality in this *** anosmia was the most common *** follow-up,no recurrent CSF leak or meningitis *** patients developed mucoceles,epidural abscess or *** patient ultimately required ventricu

关键词： anterior skull base repair Cerebrospinal fluid leak Surgery

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