TY - JOUR PY - 1998// TI - The diagnosis and treatment of cerebrospinal fluid rhinorrhea JO - Zhonghua er bi yan hou ke za zhi A1 - Ni, D. A1 - Xu, C. A1 - Zhang, Linhe SP - 303 EP - 305 VL - 33 IS - 5 N2 - OBJECTIVE: To summarize our experience in managing cerebrospinal fluid(CSF) rhinorrhea. METHODS: Twenty-nine cases with cerebrospinal fluid rhinorrhea from 1982 to March of 1997 were reviewed. The duration of CSF rhinorrhea varied from 3 months to 23 years. The ages of the patients ranged from 7 to 72 years. RESULTS: The causes of CSF leak were spontaneous in 18 cases, traumatic in 6 (1 had two accidents and got two different leaking sites) and iatrogenic in 5 cases. Twenty-two cases underwent surgical repair. Overall closure rate was 81.8%. The causes, symptoms and signs, sites of leakage and surgical techniques were analyzed. The classification, diagnosis and treatment of CSF rhinorrhea were discussed. CONCLUSION: Transnasal extracranial repair undertaken by otorhinolaryngologist got better closure rate(93.8%) in this group. Transnasal endoscopic repair could afford excellent view, facilitate precise tissue graft placement and get better closure rate.

Language: zh

LA - zh SN - 0412-3948 UR - http://dx.doi.org/ ID - ref1 ER -