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Endoscopic Repair of Lateral Sphenoid Recess Cerebrospinal Fluid Leaks

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Endoscopic repair of anterior cranial base has been widely reported. However there is still no uniformity in the technique of endoscopic repair of lateral sphenoid cerebrospinal fluid (CSF) leaks. To highlight the management of CSF leak or encephalocele in the lateral sphenoid recess and relate our experiences. We retrospectively reviewed the medical records of all our patients who underwent an endoscopic repair of CSF leaks in the lateral sphenoid recess during the period from September 2003 to January 2010 at our tertiary hospital. Fifteen cases with CSF leaks/encephalocele that were repaired by the endoscopic approach were included. The majority of our cases were spontaneous leaks. In all our cases we approached the site of defect by an end on approach. All our patients were successfully treated in the first attempt. Endoscopic repair of lateral sphenoid recess has shown better surgical outcome with reduced morbidity.

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  1. McCormack B, Cooper PR, Persky M, Rothstein S (1990) Extracranial repair of cerebrospinal fluid fistulas: technique and results in 37 patients. Neurosurgery 27:412–417

    Article  PubMed  CAS  Google Scholar 

  2. Wormald PJ, McDonogh M (2003) The bath plug closure of anterior skull base cerebrospinal fluid leaks. Am J Rhinol 17:299–305

    PubMed  CAS  Google Scholar 

  3. Hadad G, Bassagasteguy L, Carru RL, Mataza JC, Kassam A, Synderman CH, Mintz A (2006) A novel reconstructive technique after endoscopic expanded endonasal approaches: vascular pedicle nasoseptal flap. Laryngoscope 116:1882–1886

    Article  PubMed  Google Scholar 

  4. Tosum F, Carru RL, Synderman CH, Kassam A, Celin S, Schaitkin B (2003) Endonasal endoscopic repair of cerebrospinal fluid leaks of the sphenoid sinus. Arch Otolaryngol Head Neck Surg 129:576–580

    Article  Google Scholar 

  5. Van Alyea OE (1941) Sphenoid sinus: anatomic study with consideration of the clinical significance of the structural characteristics of the sphenoid sinus. Arch Otolaryngol 34:225–253

    Article  Google Scholar 

  6. Earwaker J (1993) Anatomic variants in sphenonasal CT. Radiographics 3:381–415

    Google Scholar 

  7. Baranano CF, Cure J, Palmer JN, Woodworth BA (2009) Sternberg’s canal: fact or fiction? Am J Rhinol Allergy 23:167–171

    Article  PubMed  Google Scholar 

  8. Schick B, Brors D, Prescher A (2000) Sternberg’s canal—cause of congenital spheniodal meningocele. Eur Arch Otorhinolaryngol 257:430–432

    Article  PubMed  CAS  Google Scholar 

  9. Shetty PG, Shroff MM, Fatterpekar GM, Sahani DV, Kirtane MV (2000) A retrospective analysis of spontaneous sphenoid sinus fistula: MR and CT findings. AJNR Am J Neuroradiol 21:337–342

    PubMed  CAS  Google Scholar 

  10. Kaufman B, Nulsen FE, Weiss MH, Brodkey JS, White RJ, Sykora GF (1977) Acquired spontaneous, nontraumatic normal pressure cerebrospinal fluid fistulas originating from the middle cranial fossa. Radiology 122:379–387

    PubMed  CAS  Google Scholar 

  11. Reynolds JM, Tomkinson A, Grigg RG, Perry CFA (1998) Lefort 1 osteotomy approach to the lateral sphenoid sinus encephalocele. J Laryngol Otol 112:679–681

    Article  Google Scholar 

  12. Rivierez M, Valsant P (2000) Spontaneous temporosphenoidal encephalocele. A case report. Neurochirurgie 46:383–386

    PubMed  CAS  Google Scholar 

  13. Pasquini E, Sciarretta V, Farneti G et al (2004) Endoscopic treatment of encephalocele of the lateral wall of sphenoid sinus. Minim Invasive Neurosurg 47:209–213

    Article  PubMed  CAS  Google Scholar 

  14. Mehandale N, Marple BF, Nussenbaum B (2002) Management of sphenoid sinus cerebrospinal fluid rhinorrhoea: making of an extended approach to the sphenoid sinus. Otolaryngol Head Neck Surg 126:147–153

    Article  Google Scholar 

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Correspondence to Abhineet Lall.

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Work done at Department of ENT, P. D. Hinduja National Hospital and Medical Research Centre and Cumballa Hill Hospital, Mumbai.

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Kirtane, M.V., Lall, A., Chavan, K. et al. Endoscopic Repair of Lateral Sphenoid Recess Cerebrospinal Fluid Leaks. Indian J Otolaryngol Head Neck Surg 64, 188–192 (2012).

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