The application nasal endoscopy and high resolution CT in the diagnosis and treatment of cerebrospinal fluid rhinorrhea

Abstract

Objective To evaluate the endoscopic repair of cerebrospinal fluid rhinorrhea accurately and combined therapy after operation. Methods Collected our department endoscopic repair of cerebrospinal fluid rhinorrhea clinical data of 28 patients from 2005 to 2009, with post-traumatic cerebrospinal fluid rhinorrhea in 20 cases, idiopathic in 8 cases of cerebrospinal fluid rhinorrhea. By thin-layer spiral CT and endoscopic mucosal leakage characteristics of the mouth to determine the location of mouth leakage, using thigh fascia lata as a repair material. Results All 28 patients were followed up for more than 3 months, the initial surgery in 27 cases, 1 case was re-surgery. The sites of cerebrospinal fluid is located in the Ethmoid roof wall of 11 cases, 6 cases of cribriform plate, sphenoid sinus in 6 cases, frontal sinus openings in 4 cases, 1 case of Ethmoid and sphenoid sinus. All patients were successfully treated once. Conclusion Thin spiral CT and endoscopic drain mouth pale edema mouth mucosa is essential for determining the leakage. The combined treatment after operation will help ensure a successful surgical repair. Key words: Endoscopic surgery; High-resolution CT; Mucosal edema; Cerebrospinal fluid rhinorrhea