Journal article
Endoscopic Transcranial Duraplasty for Rhinoliquorrhea: A Cadaveric Study.
- Bartoli A Department of Neurosurgery, Geneva University Hospitals, Faculty of Medicine, Geneva, Switzerland.
- Fasel JH Clinical Anatomy Research Group, Department of Cellular Physiology and Metabolism, University Medical Center, Geneva, Switzerland.
- Schaller K Department of Neurosurgery, Geneva University Hospitals, Faculty of Medicine, Geneva, Switzerland.
- Jägersberg M Department of Neurosurgery, Geneva University Hospitals, Faculty of Medicine, Geneva, Switzerland.
- 2018-01-20
Published in:
- Operative neurosurgery (Hagerstown, Md.). - 2018
Anterior skull base
CSF leak
Cadaveric study
Endoscopy
Trauma
Animals
Cattle
Cerebrospinal Fluid Rhinorrhea
Craniocerebral Trauma
Dura Mater
Humans
Neuroendoscopy
Reconstructive Surgical Procedures
Skull Base
Surgical Flaps
English
BACKGROUND
Repair of the anterior skull base for cerebrospinal fluid leak requires either endoscopic endonasal approach or open transcranial approach.
OBJECTIVE
To present a less invasive surgical procedure for sealing of the entire anterior fossa floor for traumatic rhinoliquorrhea.
METHODS
Cadaver study in 3 head specimens. Endoscopic placement of a furled bovine pericardial patch bilaterally along the sphenoid ridge and planum in guidewire technique. Unfurling and spreading of the patch under endoscope assistance.
RESULTS
Patch placement was feasible in all 3 specimens without visible injuries to the frontal lobes. Dissection and preservation of the olfactory tracts was only possible for 50% of olfactory tracts.
CONCLUSION
Endoscopic transcranial keyhole duraplasty is a promising concept for traumatic rhinoliquorrhea.
Repair of the anterior skull base for cerebrospinal fluid leak requires either endoscopic endonasal approach or open transcranial approach.
OBJECTIVE
To present a less invasive surgical procedure for sealing of the entire anterior fossa floor for traumatic rhinoliquorrhea.
METHODS
Cadaver study in 3 head specimens. Endoscopic placement of a furled bovine pericardial patch bilaterally along the sphenoid ridge and planum in guidewire technique. Unfurling and spreading of the patch under endoscope assistance.
RESULTS
Patch placement was feasible in all 3 specimens without visible injuries to the frontal lobes. Dissection and preservation of the olfactory tracts was only possible for 50% of olfactory tracts.
CONCLUSION
Endoscopic transcranial keyhole duraplasty is a promising concept for traumatic rhinoliquorrhea.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1093/ons/opx084
- PMID 29351678
- Persistent URL
- https://folia.unifr.ch/global/documents/297462
Statistics
Document views: 13
File downloads: