Two Cases of Cerebrospinal Fluid Rhinorrhea Repair Surgery Using TachoComb
Cerebrospinal fluid (CSF) rhinorrhea is a rare condition characterized by the leakage of CSF through the nose. The diagnosis is established through comprehensive history taking, brain imaging, and nasal endoscopy. Surgical intervention is considered a secondary option for CSF leakage when conservati...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Rhinologic Society
2024-03-01
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| Series: | Journal of Rhinology |
| Subjects: | |
| Online Access: | http://www.j-rhinology.org/upload/pdf/jr-2023-00076.pdf |
| _version_ | 1827287997260759040 |
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| author | Ah Young Bae Sun Hong Kim Se Hwan Hwang |
| author_facet | Ah Young Bae Sun Hong Kim Se Hwan Hwang |
| author_sort | Ah Young Bae |
| collection | DOAJ |
| description | Cerebrospinal fluid (CSF) rhinorrhea is a rare condition characterized by the leakage of CSF through the nose. The diagnosis is established through comprehensive history taking, brain imaging, and nasal endoscopy. Surgical intervention is considered a secondary option for CSF leakage when conservative treatments, including behavioral therapy, pharmacotherapy, or lumbar puncture, fail to elicit a response. In recent years, endoscopic intranasal surgery has been favored over craniotomy for such surgical treatment. When repairing CSF leakage defects via endoscopic intranasal surgery, autologous fat and muscle flaps are commonly employed. However, these grafts may lead to complications, including donor site infection, edema, and wound dehiscence. Therefore, in this article, we would like to introduce two cases of CSF rhinorrhea repair surgery using TachoComb. While previous studies have employed TachoComb as a supplementary material for the repair of CSF leak defects, in the cases we describe, the primary reconstruction of the defect area was achieved using TachoComb, supported by free grafts such as septal bone or turbinate mucosal flap, which were smaller than the size of the CSF leakage defects. |
| first_indexed | 2024-04-24T11:22:23Z |
| format | Article |
| id | doaj.art-528c82911eee43fa82700189eb2553e1 |
| institution | Directory Open Access Journal |
| issn | 1229-1498 2384-4361 |
| language | English |
| last_indexed | 2024-04-24T11:22:23Z |
| publishDate | 2024-03-01 |
| publisher | Korean Rhinologic Society |
| record_format | Article |
| series | Journal of Rhinology |
| spelling | doaj.art-528c82911eee43fa82700189eb2553e12024-04-11T04:35:32ZengKorean Rhinologic SocietyJournal of Rhinology1229-14982384-43612024-03-01311525610.18787/jr.2023.00076800Two Cases of Cerebrospinal Fluid Rhinorrhea Repair Surgery Using TachoCombAh Young Bae0Sun Hong KimSe Hwan Hwang Department of Otolaryngology-Head and Neck Surgery, Bucheon Saint Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of KoreaCerebrospinal fluid (CSF) rhinorrhea is a rare condition characterized by the leakage of CSF through the nose. The diagnosis is established through comprehensive history taking, brain imaging, and nasal endoscopy. Surgical intervention is considered a secondary option for CSF leakage when conservative treatments, including behavioral therapy, pharmacotherapy, or lumbar puncture, fail to elicit a response. In recent years, endoscopic intranasal surgery has been favored over craniotomy for such surgical treatment. When repairing CSF leakage defects via endoscopic intranasal surgery, autologous fat and muscle flaps are commonly employed. However, these grafts may lead to complications, including donor site infection, edema, and wound dehiscence. Therefore, in this article, we would like to introduce two cases of CSF rhinorrhea repair surgery using TachoComb. While previous studies have employed TachoComb as a supplementary material for the repair of CSF leak defects, in the cases we describe, the primary reconstruction of the defect area was achieved using TachoComb, supported by free grafts such as septal bone or turbinate mucosal flap, which were smaller than the size of the CSF leakage defects.http://www.j-rhinology.org/upload/pdf/jr-2023-00076.pdfcerebrospinal fluid leakpneumocephalustachocomb |
| spellingShingle | Ah Young Bae Sun Hong Kim Se Hwan Hwang Two Cases of Cerebrospinal Fluid Rhinorrhea Repair Surgery Using TachoComb Journal of Rhinology cerebrospinal fluid leak pneumocephalus tachocomb |
| title | Two Cases of Cerebrospinal Fluid Rhinorrhea Repair Surgery Using TachoComb |
| title_full | Two Cases of Cerebrospinal Fluid Rhinorrhea Repair Surgery Using TachoComb |
| title_fullStr | Two Cases of Cerebrospinal Fluid Rhinorrhea Repair Surgery Using TachoComb |
| title_full_unstemmed | Two Cases of Cerebrospinal Fluid Rhinorrhea Repair Surgery Using TachoComb |
| title_short | Two Cases of Cerebrospinal Fluid Rhinorrhea Repair Surgery Using TachoComb |
| title_sort | two cases of cerebrospinal fluid rhinorrhea repair surgery using tachocomb |
| topic | cerebrospinal fluid leak pneumocephalus tachocomb |
| url | http://www.j-rhinology.org/upload/pdf/jr-2023-00076.pdf |
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