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A novel technology: percutaneous injection of fibrin glue as a treatment for frontal sinus cerebrospinal fluid rhinorrhea.
- Source :
-
The Journal of craniofacial surgery [J Craniofac Surg] 2013; Vol. 24 (5), pp. 1646-9. - Publication Year :
- 2013
-
Abstract
- In this study, we examined the effectiveness of percutaneous injected fibrin glue as a treatment for frontal sinus cerebrospinal fluid (CSF) rhinorrhea in a series of 4 cases. All 4 patients had fracture in the posterior wall of the frontal sinus. The anterior wall of the frontal sinus was punctured following high-resolution computed tomography imaging. In 3 out of 4 patients with defective skull due to prior frontal craniotomy, direct percutaneous puncture of the frontal sinus was used. Fibrin glue was injected to close the fistula and to seal the rhinorrhea. Surgery procedures lasted for 15-35 minutes (average 27.6 min). Rhinorrhea was stopped in all patients after the surgery, with no recurrence at a 10-month follow-up visit. In 1 case, the glue was expelled by coughing at 2 days after the surgery but was completely stopped with no recurrence after a second attempt. One patient with no recurrence at a 10-month follow-up died of tumor relapse at 12 months. In summary, fibrin glue could be used as a novel treatment for frontal sinus CSF rhinorrhea.
- Subjects :
- Accidents, Traffic
Adult
Cerebrospinal Fluid Rhinorrhea diagnostic imaging
Craniotomy
Female
Frontal Sinus diagnostic imaging
Frontal Sinus surgery
Humans
Male
Middle Aged
Skull Fractures diagnostic imaging
Skull Fractures surgery
Tomography, X-Ray Computed
Treatment Outcome
Cerebrospinal Fluid Rhinorrhea etiology
Cerebrospinal Fluid Rhinorrhea surgery
Fibrin Tissue Adhesive therapeutic use
Frontal Sinus injuries
Skull Fractures complications
Subjects
Details
- Language :
- English
- ISSN :
- 1536-3732
- Volume :
- 24
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- The Journal of craniofacial surgery
- Publication Type :
- Academic Journal
- Accession number :
- 24036713
- Full Text :
- https://doi.org/10.1097/SCS.0b013e3182902de6