Transsphenoidal Endoscopic Approach in Treatment of Spontaneous Nasal CSF-leak

Sergei Karpishchenko; Vladislav Cherebillo; Olga Vereshchagina; Nikita Puzakov; Olga Stancheva

doi:doi:10.11648/j.js.20190706.19

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Transsphenoidal Endoscopic Approach in Treatment of Spontaneous Nasal CSF-leak

Sergei Karpishchenko, Vladislav Cherebillo, Olga Vereshchagina, Nikita Puzakov, Olga Stancheva

Published in Journal of Surgery (Volume 7, Issue 6)

Received: 13 November 2019 Accepted: 11 December 2019 Published: 23 December 2019

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Abstract

Spontaneous nasal liquorrhea is a pathological condition associated with defects between the nasal cavity and the intracranial structures, which results in CSF leak from the nasal cavity. Diagnostic criteria include: anamnesis, examination of the nasal fluid, endoscopic examination of the nasal cavity, and CT - and MRI - cisternography. Conservative therapy is applicable to small fistulas. In the case of the inefficiency of this method, surgical method is then applied to the defect closure. Purpose of the study: To evaluate the effectiveness of endoscopic endonasal approach in the CSF leak treatment. Materials and methods: For the period from 2008 to 2018 at the Pavlov First Saint Petersburg State Medical University, at the clinic of neurosurgery of the Kirov Medical Institute and the Medical Research Center Almazov, 38 patients with spontaneous nasal liquorrhea were treated. All patients underwent plastic surgery of the CSF fistula by endoscopic endonasal approach. Results: In 4 cases, there was a large defect requiring secondary surgical intervention 1-2 weeks after the initial operation. Conclusions: The use of auto tissues (muscle or fat) is the method of choice for repeated surgical plastics of the cerebrospinal fluid fistula or in the case of a large size defect.

Published in	Journal of Surgery (Volume 7, Issue 6)
DOI	10.11648/j.js.20190706.19
Page(s)	198-201
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Nasal Liquorrhea, Skull Base, Autograph

References

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APA Style

Sergei Karpishchenko, Vladislav Cherebillo, Olga Vereshchagina, Nikita Puzakov, Olga Stancheva. (2019). Transsphenoidal Endoscopic Approach in Treatment of Spontaneous Nasal CSF-leak. Journal of Surgery, 7(6), 198-201. https://doi.org/10.11648/j.js.20190706.19

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ACS Style

Sergei Karpishchenko; Vladislav Cherebillo; Olga Vereshchagina; Nikita Puzakov; Olga Stancheva. Transsphenoidal Endoscopic Approach in Treatment of Spontaneous Nasal CSF-leak. J. Surg. 2019, 7(6), 198-201. doi: 10.11648/j.js.20190706.19

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AMA Style

Sergei Karpishchenko, Vladislav Cherebillo, Olga Vereshchagina, Nikita Puzakov, Olga Stancheva. Transsphenoidal Endoscopic Approach in Treatment of Spontaneous Nasal CSF-leak. J Surg. 2019;7(6):198-201. doi: 10.11648/j.js.20190706.19

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@article{10.11648/j.js.20190706.19,
  author = {Sergei Karpishchenko and Vladislav Cherebillo and Olga Vereshchagina and Nikita Puzakov and Olga Stancheva},
  title = {Transsphenoidal Endoscopic Approach in Treatment of Spontaneous Nasal CSF-leak},
  journal = {Journal of Surgery},
  volume = {7},
  number = {6},
  pages = {198-201},
  doi = {10.11648/j.js.20190706.19},
  url = {https://doi.org/10.11648/j.js.20190706.19},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20190706.19},
  abstract = {Spontaneous nasal liquorrhea is a pathological condition associated with defects between the nasal cavity and the intracranial structures, which results in CSF leak from the nasal cavity. Diagnostic criteria include: anamnesis, examination of the nasal fluid, endoscopic examination of the nasal cavity, and CT - and MRI - cisternography. Conservative therapy is applicable to small fistulas. In the case of the inefficiency of this method, surgical method is then applied to the defect closure. Purpose of the study: To evaluate the effectiveness of endoscopic endonasal approach in the CSF leak treatment. Materials and methods: For the period from 2008 to 2018 at the Pavlov First Saint Petersburg State Medical University, at the clinic of neurosurgery of the Kirov Medical Institute and the Medical Research Center Almazov, 38 patients with spontaneous nasal liquorrhea were treated. All patients underwent plastic surgery of the CSF fistula by endoscopic endonasal approach. Results: In 4 cases, there was a large defect requiring secondary surgical intervention 1-2 weeks after the initial operation. Conclusions: The use of auto tissues (muscle or fat) is the method of choice for repeated surgical plastics of the cerebrospinal fluid fistula or in the case of a large size defect.},
 year = {2019}
}

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TY  - JOUR
T1  - Transsphenoidal Endoscopic Approach in Treatment of Spontaneous Nasal CSF-leak
AU  - Sergei Karpishchenko
AU  - Vladislav Cherebillo
AU  - Olga Vereshchagina
AU  - Nikita Puzakov
AU  - Olga Stancheva
Y1  - 2019/12/23
PY  - 2019
N1  - https://doi.org/10.11648/j.js.20190706.19
DO  - 10.11648/j.js.20190706.19
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 198
EP  - 201
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20190706.19
AB  - Spontaneous nasal liquorrhea is a pathological condition associated with defects between the nasal cavity and the intracranial structures, which results in CSF leak from the nasal cavity. Diagnostic criteria include: anamnesis, examination of the nasal fluid, endoscopic examination of the nasal cavity, and CT - and MRI - cisternography. Conservative therapy is applicable to small fistulas. In the case of the inefficiency of this method, surgical method is then applied to the defect closure. Purpose of the study: To evaluate the effectiveness of endoscopic endonasal approach in the CSF leak treatment. Materials and methods: For the period from 2008 to 2018 at the Pavlov First Saint Petersburg State Medical University, at the clinic of neurosurgery of the Kirov Medical Institute and the Medical Research Center Almazov, 38 patients with spontaneous nasal liquorrhea were treated. All patients underwent plastic surgery of the CSF fistula by endoscopic endonasal approach. Results: In 4 cases, there was a large defect requiring secondary surgical intervention 1-2 weeks after the initial operation. Conclusions: The use of auto tissues (muscle or fat) is the method of choice for repeated surgical plastics of the cerebrospinal fluid fistula or in the case of a large size defect.
VL  - 7
IS  - 6
ER  -

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Author Information

Sergei Karpishchenko

Department of Otorhinolaringology, Pavlov First Saint Petersburg State Medical University, St. Petersburg, Russia
Vladislav Cherebillo

Department of Neurosurgery, Pavlov First Saint Petersburg State Medical University, St. Petersburg, Russia
Olga Vereshchagina

Department of Otorhinolaringology, Pavlov First Saint Petersburg State Medical University, St. Petersburg, Russia
Nikita Puzakov

Department of Neurosurgery, Pavlov First Saint Petersburg State Medical University, St. Petersburg, Russia
Olga Stancheva

Department of Otorhinolaringology, Pavlov First Saint Petersburg State Medical University, St. Petersburg, Russia

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APA Style

Sergei Karpishchenko, Vladislav Cherebillo, Olga Vereshchagina, Nikita Puzakov, Olga Stancheva. (2019). Transsphenoidal Endoscopic Approach in Treatment of Spontaneous Nasal CSF-leak. Journal of Surgery, 7(6), 198-201. https://doi.org/10.11648/j.js.20190706.19

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ACS Style

Sergei Karpishchenko; Vladislav Cherebillo; Olga Vereshchagina; Nikita Puzakov; Olga Stancheva. Transsphenoidal Endoscopic Approach in Treatment of Spontaneous Nasal CSF-leak. J. Surg. 2019, 7(6), 198-201. doi: 10.11648/j.js.20190706.19

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AMA Style

Sergei Karpishchenko, Vladislav Cherebillo, Olga Vereshchagina, Nikita Puzakov, Olga Stancheva. Transsphenoidal Endoscopic Approach in Treatment of Spontaneous Nasal CSF-leak. J Surg. 2019;7(6):198-201. doi: 10.11648/j.js.20190706.19

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@article{10.11648/j.js.20190706.19,
  author = {Sergei Karpishchenko and Vladislav Cherebillo and Olga Vereshchagina and Nikita Puzakov and Olga Stancheva},
  title = {Transsphenoidal Endoscopic Approach in Treatment of Spontaneous Nasal CSF-leak},
  journal = {Journal of Surgery},
  volume = {7},
  number = {6},
  pages = {198-201},
  doi = {10.11648/j.js.20190706.19},
  url = {https://doi.org/10.11648/j.js.20190706.19},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20190706.19},
  abstract = {Spontaneous nasal liquorrhea is a pathological condition associated with defects between the nasal cavity and the intracranial structures, which results in CSF leak from the nasal cavity. Diagnostic criteria include: anamnesis, examination of the nasal fluid, endoscopic examination of the nasal cavity, and CT - and MRI - cisternography. Conservative therapy is applicable to small fistulas. In the case of the inefficiency of this method, surgical method is then applied to the defect closure. Purpose of the study: To evaluate the effectiveness of endoscopic endonasal approach in the CSF leak treatment. Materials and methods: For the period from 2008 to 2018 at the Pavlov First Saint Petersburg State Medical University, at the clinic of neurosurgery of the Kirov Medical Institute and the Medical Research Center Almazov, 38 patients with spontaneous nasal liquorrhea were treated. All patients underwent plastic surgery of the CSF fistula by endoscopic endonasal approach. Results: In 4 cases, there was a large defect requiring secondary surgical intervention 1-2 weeks after the initial operation. Conclusions: The use of auto tissues (muscle or fat) is the method of choice for repeated surgical plastics of the cerebrospinal fluid fistula or in the case of a large size defect.},
 year = {2019}
}

Copy | Download

TY  - JOUR
T1  - Transsphenoidal Endoscopic Approach in Treatment of Spontaneous Nasal CSF-leak
AU  - Sergei Karpishchenko
AU  - Vladislav Cherebillo
AU  - Olga Vereshchagina
AU  - Nikita Puzakov
AU  - Olga Stancheva
Y1  - 2019/12/23
PY  - 2019
N1  - https://doi.org/10.11648/j.js.20190706.19
DO  - 10.11648/j.js.20190706.19
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 198
EP  - 201
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20190706.19
AB  - Spontaneous nasal liquorrhea is a pathological condition associated with defects between the nasal cavity and the intracranial structures, which results in CSF leak from the nasal cavity. Diagnostic criteria include: anamnesis, examination of the nasal fluid, endoscopic examination of the nasal cavity, and CT - and MRI - cisternography. Conservative therapy is applicable to small fistulas. In the case of the inefficiency of this method, surgical method is then applied to the defect closure. Purpose of the study: To evaluate the effectiveness of endoscopic endonasal approach in the CSF leak treatment. Materials and methods: For the period from 2008 to 2018 at the Pavlov First Saint Petersburg State Medical University, at the clinic of neurosurgery of the Kirov Medical Institute and the Medical Research Center Almazov, 38 patients with spontaneous nasal liquorrhea were treated. All patients underwent plastic surgery of the CSF fistula by endoscopic endonasal approach. Results: In 4 cases, there was a large defect requiring secondary surgical intervention 1-2 weeks after the initial operation. Conclusions: The use of auto tissues (muscle or fat) is the method of choice for repeated surgical plastics of the cerebrospinal fluid fistula or in the case of a large size defect.
VL  - 7
IS  - 6
ER  -

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