1. Comparison of high‐flow CSF leak closure with nasoseptal flap following endoscopic endonasal approach in adult and pediatric populations.
- Author
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Papagiannopoulos, Peter, Tong, Charles C.L., Brown, Hannah J., Douglas, Jennifer E., Yver, Christina M., Kuan, Edward C., Tajudeen, Bobby A., Kohanski, Michael A., LeeMSCE, John Y. K., Palmer, James N., W.O'Malley, Bert, Grady, M. Sean, Storm, Phillip B., and Adappa, Nithin D.
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CEREBROSPINAL fluid leak , *CHILD patients , *CRANIOPHARYNGIOMA , *ATRIAL septal defects , *ENDOSCOPIC surgery , *CEREBROSPINAL fluid rhinorrhea , *CEREBROSPINAL fluid shunts , *SKULL base , *ADULTS - Abstract
Keywords: cerebrospinal fluid rhinorrhea; natural orifice endoscopic surgery; skull base; therapeutics EN cerebrospinal fluid rhinorrhea natural orifice endoscopic surgery skull base therapeutics 321 323 3 02/22/22 20220301 NES 220301 INTRODUCTION The last decade has seen the utilization of endoscopic endonasal approach (EEA) in resection of tumors with intradural components.1 EEA for intracranial masses is both possible and effective.2-4 When compared to transcranial approach, EEA has demonstrated superior vision outcomes, equivalent rates of total resection and complication, and stable quality of life outcomes.5,6 Successful EEA requires adequate skull base closure to prevent cerebrospinal fluid (CSF) leaks. There was no significant difference in postoperative CSF leak rates between pediatric and adult groups, underscoring EEA with NSF repair as a successful and safe technique in the surgical resection of pediatric anterior skull base tumors. One recent study examined NSF skull base reconstruction in a cohort of 12 post-EEA pediatric patients.9 Complications included one CSF leak, with a leak rate of 8.33%. [Extracted from the article]
- Published
- 2022
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