PubMed · 9828808
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A G Hatrick, D C Howlett, T C Cox. 1998. Funny turns.. https://doi.org/10.1259/bjr.71.848.9828808
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OBJECTIVES/HYPOTHESIS: To demonstrate an effective method for transnasal endoscopic closure of anterior skull base fistulas that does not involve lumbar drains or fat packing. STUDY DESIGN: Retrospective. METHODS: We reviewed the charts of 36 patients who had 37 anterior skull base defects that were repaired endoscopically between 1993 and 2001. RESULTS: Thirty-three defects were successfully closed on the first attempt. Three were successfully closed on the second attempt. One large defect was repaired by neurosurgery after a failed endoscopic attempt. Our results are similar to those of other published series. CONCLUSION: Our method is effective and does not require adjuvant procedures or prolonged hospital stays.
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Endoscopic management of CSF rhinorrhoea in children is usually associated with a higher incidence of mucosal abrasion and post-operative synechiae formation due to surgical manoeuvres in narrower nasal passages. We have used the Gaab universal neuroendoscope for the treatment of CSF rhinorrhoea in children. Three patients were treated in the last 2 years with this technique. All patients became completely asymptomatic after the initial procedure without any significant complications. We conclude that the treatment of CSF rhinorrhoea in children by means of a neuroendoscope with a working sheath may be effective and less traumatic to the nasal passage.