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首页> 外文期刊>Acta Oto-Laryngologica >Endoscopic endonasal surgery for recurrent cerebrospinal fluid rhinorrhea.
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Endoscopic endonasal surgery for recurrent cerebrospinal fluid rhinorrhea.

机译：内镜鼻腔内手术治疗复发性脑脊液鼻漏。

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CONCLUSIONS: CT and MRI are helpful to detect the precise site of the fistula, which is crucial for carrying out the repair, and transnasal endoscopic surgery is an effective treatment for recurrent cerebrospinal fluid (CSF) rhinorrhea. OBJECTIVE: To discuss the cause and treatment of recurrent CSF rhinorrhea. METHODS: A retrospective study was undertaken to analyze the clinical characteristics of 32 patients with recurrent CSF rhinorrhea. After detailed examination and radiological evaluation by CT and MRI, all of them underwent transnasal endoscopic surgery. RESULTS: Six patients presented a leakage at the posterior wall of the frontal sinus, 12 at the ethmoid roof, and 14 at the sphenoid roof. Four cases with a defect in the frontal sinus and frontal recess were repaired with the DRAF III procedure, four cases with a defect in the sphenoid lateral recess were repaired through transpterygoid intervention and under an image-guided navigation system, while the others were operated by routine endoscopic sinus surgery. No recurrence was found during the follow-up for 14-60 months (mean 36.8) in 31 cases, and 1 case with recurrence recovered well after further surgery.
机译：结论：CT和MRI有助于发现瘘管的精确位置，这对于进行修补至关重要，而经鼻内镜手术是治疗复发性脑脊液（CSF）鼻漏的有效方法。目的：探讨脑脊液复发性鼻漏的病因及治疗方法。方法：回顾性分析32例复发性CSF鼻漏的临床特征。经过详细的检查和CT和MRI的放射学评估后，他们都接受了经鼻内窥镜手术。结果：6例患者在额窦后壁出现渗漏，筛骨顶出现12例，蝶骨顶出现14例。 DRAF III手术修复了4例额窦和额凹缺损的病例，经蝶骨介入并在图像引导的导航系统下修复了4例蝶骨外侧凹缺损的病例，常规内镜鼻窦手术。随访14-60个月，未发现复发（平均36.8），其中31例复发，其中1例在进一步手术后恢复良好。

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