ENDOSCOPIC REPAIR OF CSF RHINORRHOEA: OUR EXPERIENCE

Abstract

Objectives:

To present a case series of endoscopic repairs of spontaneous CSF rhinorrhoea.

Materials and Methods: 

Retrospective review of ten patients who underwent endoscopic CSF leak repair between July 2011 to July 2015 at Ganeshman Singh Memorial Academy for ENT and Heck Neck Studies, TU Teaching Hospital, Kathmandu, Nepal. Repair was performed by identifying the defect site, debriding the defect margins and sealing the defect with a fascia lata graft or middle turbinate mucosal graft.

Results:

Leaks were identified in cribiform plate area in nine patients and frontal recess area in one patient. Fascia lata graft was used in nine patients and middle turbinate mucosal graft was used in one patient. Nine out of ten patients had successful repair after first surgery and one patient had successful repair after second surgery.

Conclusions:

Endoscopic repair is a safe and effective treatment for CSF rhinorrhoea.

Keywords: CSF rhinorrhoea, Endoscopic repair