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首页> 外文期刊>ORL: Journal for oto-rhino-laryngology and its borderlands >Multilayered Closure of Cerebrospinal Fluid Rhinorrhea with Inlay Fascia Lata, Autologous Fat, and Outlay Fascia Lata: Our Experience
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Multilayered Closure of Cerebrospinal Fluid Rhinorrhea with Inlay Fascia Lata, Autologous Fat, and Outlay Fascia Lata: Our Experience

机译：多层闭合脑脊液鼻漏伴嵌筋膜，自体脂肪和筋膜筋膜：我们的经验

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Background/Aims: Since the initial use in 1981 by Wigand, different endoscopic endonasal surgery techniques have been proposed to close ventral skull base defects, all of which include multilayer closure involving vascularized mucoseptal flaps, autologous grafts, and synthetic materials. These methods are used individually or in combination, as required by the operative condition. Methods: In this study we aimed to describe our endoscopic technique using inlay-outlay fascia lata and autologous fat with fibrin sealant to close spontaneous and traumatic cerebrospinal fluid (C5F) rhinorrhea. Results and Conclusion: Twenty-one CSF rhinorrhea patients were operated with this technique in our hospital. Two patients had large skull base defects and 15 patients had high-flow CSF leaks. We reached a 100% success rate in the first attempt without any long-term recurrence. Multilayered endoscopic closure with this technique offers satisfactory results with minimal morbidity even in large defects and high-flow CSF leaks. (C) 2016 S. Karger AG, Basel
机译：背景/目的：自1981年Wigand首次使用以来，已提出了不同的内窥镜鼻内窥镜手术技术来闭合腹侧颅底缺损，所有这些技术都包括多层闭合，包括血管化的粘膜上皮瓣，自体移植物和合成材料。根据操作条件的需要，可以单独或组合使用这些方法。方法：在这项研究中，我们旨在描述我们的内窥镜技术，该技术使用嵌体筋膜筋膜和自体脂肪与纤维蛋白封闭剂封闭自发性和创伤性脑脊液（C5F）鼻漏。结果与结论：我院采用该技术对21例脑脊液鼻漏患者进行了手术。 2例颅骨底缺损较大，15例脑脊液高流量漏出。首次尝试我们达到了100％的成功率，并且没有任何长期复发。采用这种技术的多层内窥镜封闭即使在较大的缺陷和高流量CSF泄漏中也能提供令人满意的结果，同时将发病率降至最低。 （C）2016 S.Karger AG，巴塞尔

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