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  • Title: [The diagnosis and treatment of cerebrospinal fluid rhinorrhea].
    Author: Ni D, Xu C, Zhang L.
    Journal: Zhonghua Er Bi Yan Hou Ke Za Zhi; 1998 Oct; 33(5):303-5. PubMed ID: 11717875.
    Abstract:
    OBJECTIVE: To summarize our experience in managing cerebrospinal fluid(CSF) rhinorrhea. METHODS: Twenty-nine cases with cerebrospinal fluid rhinorrhea from 1982 to March of 1997 were reviewed. The duration of CSF rhinorrhea varied from 3 months to 23 years. The ages of the patients ranged from 7 to 72 years. RESULTS: The causes of CSF leak were spontaneous in 18 cases, traumatic in 6 (1 had two accidents and got two different leaking sites) and iatrogenic in 5 cases. Twenty-two cases underwent surgical repair. Overall closure rate was 81.8%. The causes, symptoms and signs, sites of leakage and surgical techniques were analyzed. The classification, diagnosis and treatment of CSF rhinorrhea were discussed. CONCLUSION: Transnasal extracranial repair undertaken by otorhinolaryngologist got better closure rate(93.8%) in this group. Transnasal endoscopic repair could afford excellent view, facilitate precise tissue graft placement and get better closure rate.
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