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Closure Methods Following Transsphenoidal Surgery

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Transsphenoidal Surgery

Abstract

Cerebrospinal fluid (CSF) leak is one of the most common postoperative complications following endonasal surgery. The rate varies with defect location, tumor type, reconstruction technique, surgeon experience, and patient factors. CSF leak rates range from 1.5 to 5% for pituitary adenomas to 10 to 16% for craniopharyngiomas and meningiomas. The severity of intraoperative CSF leak also correlates with the risk of postoperative leak. While this relationship is intuitive, classifying the severity can be challenging.

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References

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Author information

Authors and Affiliations

  1. Department of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA

    Paul A. Gardner MD & Juan C. Fernandez-Miranda MD

  2. University of Pittsburgh School of Medicine, Otolaryngology and Neurological Surgery, Pittsburgh, PA, USA

    Carl H. Snyderman MD, MBA

  3. University of Pittsburgh School of Medicine, Otolaryngology, Pittsburgh, PA, USA

    Eric W. Wang MD

Authors
  1. Paul A. Gardner MD
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  2. Carl H. Snyderman MD, MBA
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  3. Juan C. Fernandez-Miranda MD
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  4. Eric W. Wang MD
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Corresponding author

Correspondence to Paul A. Gardner MD .

Editor information

Editors and Affiliations

  1. Department of Neurosurgery, Harvard Medical School Brigham and Women’s Hospital, Boston, MA, USA

    Edward R. Laws, Jr

  2. Department of Neurosurgery, Indianapolis Methodist Hospital, Indianapolis, IN, USA

    Aaron A. Cohen-Gadol

  3. Department of Neurosurgery, Weill Cornell Medical College New York Presbyterian Hospital, New York, NY, USA

    Theodore H. Schwartz

  4. Department of Neurological Surgery, University of Virginia, Charlottesville, VA, USA

    Jason P. Sheehan

Electronic Supplementary Material

Demonstration of surgical technique for elevation of a right nasoseptal flap (MPG 248944 kb)

Coverage of a sellar defect with a right nasoseptal flap (MP4 1860 kb)

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Gardner, P.A., Snyderman, C.H., Fernandez-Miranda, J.C., Wang, E.W. (2017). Closure Methods Following Transsphenoidal Surgery. In: Laws, Jr, E.R., Cohen-Gadol, A.A., Schwartz, T.H., Sheehan, J.P. (eds) Transsphenoidal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-56691-7_18

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  • DOI: https://doi.org/10.1007/978-3-319-56691-7_18

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-56689-4

  • Online ISBN: 978-3-319-56691-7

  • eBook Packages: MedicineMedicine (R0)

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