Volume 33 Number 1 (2024)
Endoscopic Transnasal Repair of Cerebrospinal Fluid Leakage: Experience in BSMMU
Wahiduzzaman M1 , Hossain A2 , Talukder MHR3 , Ali MI4 , Tarafder F5 , Tarafder KH6 , Rahman SH7
Mymensingh Med J 2024 Jan; 33 (1): 192-197
PMID: 38163792
Abstract
Endoscopic transnasal repair of CSF rhinorrhoea is gaining popularity around the world because of its tremendous success rate but it depends on defect site, size, technique of repair, experiences of surgeon and also patient’s profile. Aim of this study was to analysis of surgical outcome of endoscopic transnasal repair of CSF rhinorrhoea. A retrospective study carried out in the department of ENT and Head neck surgery at Bangabandhu Sheikh Mujib Medical University (BSMMU) from January 2018 to December 2019. Of the total of 24 patients 16(66.0%) were female and 8(33.0%) males. The commonest site of the leak was in the cribriform plate in 18(75.3%) followed by 5(20.8%) in the fovea ethmoidalis, and 1(4.0%) in the sphenoid sinus, the overall success rate of this series with first surgical procedure was 95.83% and 100.0% with a second procedure. Meticulous pre-operative evaluation, proper identification of leakage site, choice of graft materials and surgical technique are keys to attaining excellent results.
Keywords: Cribriform plate, Fovea ethmoidalis, Endoscopic transnasal surgery
- Associate Professor