Endoscopic endonasal repair of spontaneous CSF fistulae

Full access

The authors present a fully endoscopic endonasal repair of a spontaneous CSF leak caused by a defect in the anterior fossa floor. Patients were positioned supine in a Mayfield headholder in slight extension. A complete ethmoidectomy was performed to expose the defect. The middle turbinate was removed to increase visualization and allow for more working room. The defect was identified and exposed. A nasoseptal flap was raised and placed over the defect. A free-mucosal graft fashioned from the removed middle turbinate was placed on the nasoseptal donor site.

The video can be found here: http://youtu.be/gAN2cvQVXCE.

The authors present a fully endoscopic endonasal repair of a spontaneous CSF leak caused by a defect in the anterior fossa floor. Patients were positioned supine in a Mayfield headholder in slight extension. A complete ethmoidectomy was performed to expose the defect. The middle turbinate was removed to increase visualization and allow for more working room. The defect was identified and exposed. A nasoseptal flap was raised and placed over the defect. A free-mucosal graft fashioned from the removed middle turbinate was placed on the nasoseptal donor site.

The video can be found here: http://youtu.be/gAN2cvQVXCE.

If the inline PDF is not rendering correctly, you can download the PDF file here.

Article Information

Contributor Notes

Please include this information when citing this paper: DOI: 10.3171/2012.V6.FOCUS11304.Address correspondence to: Paul A. Gardner, M.D., University of Pittsburgh Medical Center, Suite B-400, UPMC Presbyterian Hospital, 200 Lothrop Street, Pittsburgh, Pennsylvania 15213. email: gardpa@upmc.edu.
TrendMD
Metrics

Metrics

All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 190 190 36
PDF Downloads 72 72 8
EPUB Downloads 0 0 0
PubMed
Google Scholar