دورية أكاديمية
Endoscopic endonasal management of cerebrospinal fluid rhinorrhea after anterior clinoidectomy for aneurysm surgery: changing the paradigm of complication management.
العنوان: | Endoscopic endonasal management of cerebrospinal fluid rhinorrhea after anterior clinoidectomy for aneurysm surgery: changing the paradigm of complication management. |
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المؤلفون: | Beer-Furlan A; Centro de Base de Crânio de São Paulo, São Paulo SP, Brasil;; DFVneuro, São Paulo SP, Brasil;, Balsalobre L; Centro de Base de Crânio de São Paulo, São Paulo SP, Brasil;; DFVneuro, São Paulo SP, Brasil;; Hospital Professor Edmundo Vasconcelos, Centro de Otorrino e Fonoaudiologia, São Paulo SP, Brasil;, Vellutini Ede A; Centro de Base de Crânio de São Paulo, São Paulo SP, Brasil;; DFVneuro, São Paulo SP, Brasil;, Stamm AC; Centro de Base de Crânio de São Paulo, São Paulo SP, Brasil;; DFVneuro, São Paulo SP, Brasil;; Hospital Professor Edmundo Vasconcelos, Centro de Otorrino e Fonoaudiologia, São Paulo SP, Brasil;, Pahl FH; Centro de Base de Crânio de São Paulo, São Paulo SP, Brasil;; DFVneuro, São Paulo SP, Brasil;, Gentil AF; Hospital Israelita Albert Einstein, São Paulo SP, Brasil. |
المصدر: | Arquivos de neuro-psiquiatria [Arq Neuropsiquiatr] 2016 Jul; Vol. 74 (7), pp. 580-6. |
نوع المنشور: | Case Reports; Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Thieme Country of Publication: Germany NLM ID: 0125444 Publication Model: Print Cited Medium: Internet ISSN: 1678-4227 (Electronic) Linking ISSN: 0004282X NLM ISO Abbreviation: Arq Neuropsiquiatr Subsets: MEDLINE |
أسماء مطبوعة: | Publication: 2022- : [Stuttgart] : Thieme Original Publication: São Paulo. |
مواضيع طبية MeSH: | Aneurysm/*surgery , Carotid Artery Diseases/*surgery , Cerebrospinal Fluid Rhinorrhea/*etiology , Cerebrospinal Fluid Rhinorrhea/*surgery , Craniotomy/*adverse effects , Intracranial Aneurysm/*surgery , Transanal Endoscopic Surgery/*methods, Adult ; Aneurysm/complications ; Carotid Artery Diseases/complications ; Female ; Humans ; Intracranial Aneurysm/complications ; Middle Aged ; Nasal Septum/surgery ; Postoperative Complications/surgery ; Reproducibility of Results ; Sphenoid Bone/anatomy & histology ; Sphenoid Bone/surgery ; Surgical Flaps ; Treatment Outcome |
مستخلص: | Resection of the anterior clinoid process results in the creation of the clinoid space, an important surgical step in the exposure and clipping of clinoidal and supraclinoidal internal carotid artery aneurysms. Cerebrospinal fluid rhinorrhea is an undesired and potentially serious complication. Conservative measures may be unsuccesful, and there is no consensus on the most appropriate surgical treatment. Two patients with persistent transclinoidal CSF rhinorrhea after aneurysm surgery were successfully treated with a combined endoscopic transnasal/transeptal binostril approach using a fat graft and ipsilateral mucosal nasal septal flap. Anatomical considerations and details of the surgical technique employed are discussed, and a management plan is proposed. |
تواريخ الأحداث: | Date Created: 20160804 Date Completed: 20170605 Latest Revision: 20170817 |
رمز التحديث: | 20231215 |
DOI: | 10.1590/0004-282X20160087 |
PMID: | 27487379 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1678-4227 |
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DOI: | 10.1590/0004-282X20160087 |