Abstract
To adequately manage cerebrospinal fluid (CSF) leaks in the anterior ventral skull base region, it is paramount for otolaryngologists and neurosurgeons involved in the care of patients with these disorders to have a thorough understanding of the complex anatomy of the anterior ventral skull base. This knowledge allows surgeons to navigate the different intranasal surgical approaches that can be used to manage sinonasal and skull base pathology and to avoid surgical complications. CSFs leak in the anterior skull base can occur spontaneously or during extended endoscopic endonasal surgery in this region. CSF leak can also occur secondary to trauma or surgery during manipulation near the skull base. Thorough knowledge and understanding of the anatomy of this region allow proper preoperative planning, safer surgical procedures, and better outcomes.
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