神经内镜下外伤性脑脊液鼻漏修补的临床研究

doi:10.6040/j.issn.1671-7554.0.2014.895

Abstract

Abstract: Objective To explore the surgical procedure and efficacy of transnasal neuroendoscopic repair of traumatic cerebrospinal fluid rhinorrhea (CSFR). Methods A retrospective analysis was performed on the clinical data of 22 cases with traumatic CSFR repaired by neuroendoscopy from December 2010 to December 2013. The diagnosis, location of rhinorrhea fistulas, methods of the operation, materials for repair and clinical efficacy were discussed. Results CSFR was repaired successfully during the first attempt in 21 of 22 cases, The twenty-one cases were follwed up for 8 to 24 months postoperatively, and none of them had recurrence during this period. One case, who developed intracranial infection and acute obstructive hydrocephalus, gave up treatment and denoted as the failure case. Conclusion Transnasal neuroendoscopic repair of traumatic CSFR should be the first choice of operative method for traumatic CSFR because of its minimal invasion and high successful rate.

Key words: Cerebrospinal fluid rhinorrhea, traumatic, Neuroendoscopy, Surgical operation

CLC Number:

R651.1

WANG Chunlai, XU Shujun, WANG Hongliang, SHANG Jingrui. Neuroendoscopic repair of traumatic cerebrospinal fluid rhinorrhea[J].JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(3): 69-72.

References

[1] 宋明,张亚卓.应用神经内镜修补脑脊液鼻漏[J].中国医刊, 2007, 42(12):15-17.
[2] Mantru M, Lukaszewicz-Zajac M, Mroczko B, et al. Cerebro-spinal fruid leakage-reliable diagnostic methods[J]. Clin Chim Acta, 2011, 412(11-12):837-840.
[3] 王忠诚.神经外科学[M].武汉:湖北科技出版社, 2005:468-470.
[4] 江基尧,朱诚,罗其中.现代颅脑损伤学[M].上海:第二军医大学出版社, 2004:9-16.
[5] Papay FA, Maggiano H, Dominquez S, et al. Rigid endoscopic repair of paranasal cerebrospinal fluid fistulas[J]. Laryngoscope, 1989, 99(11):1195-1201.
[6] 鲍诗平,刘勇刚,张秋航.经鼻内镜下脑脊液鼻漏修补术[J].中国耳鼻喉头颈外科, 2009, 16(11):637-638. BAO Shiping, LIU Yonggang, ZHANG Qiuhang. Endoscopic endonasal approaches for repair ofcerebrospinal fluid rhinorrhea[J]. China Arch Otolaryngol Head Neck Surg, 2009, 16(11):637-638.
[7] 文卫平,李建,史建波,等.经鼻内镜外伤性脑脊液鼻漏修补术[J].中国内镜杂志, 2005, 11(3):228-230. WEN Weiping, LI Jian, SHI Jianbo, et al. Repairing of traumatical cerebrospinal rhinorrhea by intranasal endoscopic approach[J]. China Journal of Endoscopy, 2005, 11(3):228-230.
[8] Nyquist GG, Anand VK, Schwartz TH. Endoscopic management of cerebrospinal fluid rhinorrhea[J]. Operative Techniques in Otolaryngology-Head and Neck Surgery, 2011, 22(3):229-231.
[9] Pease M, Marquez Y, Tuchman A, et al. Diagnosis and surgical management of traumatic cerebrospinal fluid oculorrhea:case report and systematic review of the literature[J]. J Neurol Surg Rep, 2013, 74(1):57-66.
[10] Zapalac JS, Marple BF, Schwade ND. Skull base cerebrospinal fluid fistulas:a comprehensive diagnostic algorithm[J]. Otolaryngol Head NeckSurg, 2002, 126(6):669-676.
[11] 李坤,宫丽丽,王道奎,等.脑脊液鼻漏的诊断及手术治疗28例临床分析[J].解放军医学院学报, 2013, 34(6):573-574.LI Kun, GONG Lili, WANG Daokui, et al. Diagnosis and treatment of cerebrospinal rhinorrhea:a clinical analysis of 28 cases[J]. Academic Journal of Chinese PLA Medical School, 2013, 34(6):573-574.
[12] Singh R, Hazarika P, Nayak DR, et al. Endoscopic repair of cerebrospinal fluid rhinorrhea-Manipal experience[J]. Indian J Otolaryngol Head Neck Surg, 2009, 61(1):14-18.
[13] 陈忠仪,袁苏涛,余吉,等.神经内镜在颅底损伤后修补术及减压术中的应用[J].南昌大学学报:医学版, 2012, 52(2):73-74.
[14] 孔勇刚,陈始明,许昱,等.经鼻内镜脑脊液鼻漏修补术23例临床分析[J].山东大学耳鼻喉眼学报, 2012, 26(6):53-54. KONG Yonggang, CHEN Shiming, XU Yi, et al. Endoscopic repair of cerebrospinal fluid in 23 cases[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2012, 26(6):53-54.
[15] Draf W, Schick B. How I do it:endoscopic microscopic anterior skull base reconetruction[J]. Skull Base, 2007, 17(1):53-58.
[16] Bhalodiya NH, Joseph ST. Cerebrospinal fluid rhinorrhea:endoscopic repair based on a combined diagnostic approach[J]. Indian J Otolaryngol Head Neck Surg, 2009, 61(2):120-126.
[17] Prickett KK, Wise SK, DelGaudio JM. Choice of graft material and postoperative healing in endoscopic repair of cerebrospinal fluid leak[J]. Arch Otolaryngol Head Neck Surg, 2011, 137(5):457-461.

Metrics

Viewed

Full text

Abstract

Cited

Shared

Discussed

Comments

Recommended 0

No Suggested Reading articles found!

Neuroendoscopic repair of traumatic cerebrospinal fluid rhinorrhea

PDF (PC)

Abstract

Cite this article

share this article

References

Related Articles 2

Metrics

Comments

Recommended 0

[1]	FENG Zichao, WANG Jiwei, LI Chao, LI Weiguo, CHEN Teng, MA Xiangyu, XU Shujun, LI Xingang. Role of pure neuroendoscopy in cerebellopontine angle area surgery [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(10): 71-75.
[2]	WANG Jiwei, LI Chao, CHEN Teng, ZHANG Wenhua, LI Weiguo, MA Xiangyu, XU Shujun, LI Xingang. Simple endoscopic vascular decompression in the treatment of trigeminal neuralgia [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2015, 53(4): 83-86.