Transnasal Endoscopic Surgical Repair of Cerebrospinal Fluid(CSF) Rhinorrhea by Inferior Turbinate Grafts

  • Muhammad Saleem Aziz Fatimah Medical and Dental College Faisalabad
  • Naeem ur Rehman
  • Raina Khan
  • Ashar Alamgir
  • Sarwat Bibi
  • Humaira Ahmad
Keywords: Cerebrospinal fluid, CSF, transnasal endoscopic repair, inferior turbinate, rhinorrhoea

Abstract

Objective: The study aims to evaluate the outcomes of transnasal endoscopic surgical repair of CSF rhinorrhoea.
Materials and Methods: After approval from the institutional ethical committee (DME-396-18) and patient consent, a descriptive study of 27 patients with cerebrospinal fluid rhinorrhea was conducted at Aziz Fatimah Trust Hospital Faisalabad from August 21, 2018, to February 7, 2021. Transnasal endoscopic surgical repair of Cerebrospinal fluid leak was performed by using multilayer technique using a graft from the inferior turbinate. The data collected were analyzed using SPSS 20.
Results: The most common site of the CSF leak was the left side of the cribriform plate (n=19,70%). The most common etiology was spontaneous (n=16,59%). At the same time, traumatic CSF leak (n=16,59%). was the second common etiological factor. The surgical procedure used in the study reported a 93%(n=25) success rate. The success rate was 97.5% on revision surgeries.
Conclusion: Transnasal endoscopic surgical repair of CSF leak is one of the most effective and safe surgical interventions. Multilayer technique is not only safe but also has lesser complications. Moreover, this minimizes the risk for the development of secondary wounds as compared to other surgical processes.

Author Biographies

Naeem ur Rehman

MBBS, FCPS,
Designation: Associate Professor, Department of Neurosurgery
Institute: Aziz Fatimah Trust Hospital Faisalabad
Postal address: Gulistan Colony 1, Raja Road, Faisalabad
Email: naeem599@yahoo.com
Contact: +92 300 7651349

Raina Khan

MBBS
Designation: House Officer, Department of Medicine (M4), District Head Quarter Hospital, Faisalabad
Institute: Faisalabad Medical University, Faisalabad
Postal Address: Faisalabad Road, Chungi No 14 opposite Noori Mosque, Jhang Sadar
Email: palvasheh996@gmail.com
Contact: +92 300 7702570

Ashar Alamgir

MBBS, FCPS 

Assistant Professor of Otorhinolaryngology,  Rawalpindi Medical University

Email: ashar_alamgir@hotmail.com

Sarwat Bibi

MBBS, FCPS
Designation: Associate professor, Department of Surgery
Institute: Aziz Fatimah Trust Hospital Faisalabad
Postal Address: Gulistan Colony 1, Raja Road, Faisalabad
Email: amarbail82@yahoo.com
Contact: +92 300 6648248

Humaira Ahmad

MBBS, FCPS
Designation: Associate professor, Department of Anesthesia & Intensive care
Institute: Faisalabad Medical University, Faisalabad
Postal Address: Department of Anesthesia & intensive care unit, Allied Hospital, Faisalabad
Email: humaira_ahmad21@hotmail.com
Contact: +92 333 5824895

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Published
2021-09-30
How to Cite
1.
Saleem M, ur Rehman N, Khan R, Alamgir A, Bibi S, Ahmad H. Transnasal Endoscopic Surgical Repair of Cerebrospinal Fluid(CSF) Rhinorrhea by Inferior Turbinate Grafts. JRMC [Internet]. 30Sep.2021 [cited 4Dec.2021];25(3):409-13. Available from: http://www.journalrmc.com/index.php/JRMC/article/view/1696