Post-traumatic cerebrospinal fluid rhinorrhea and Transcranial approach surgical outcomes.

  • Aurangzeb Kalhoro Jinnah Medical and Dental College Karachi.
  • Abdul Samad Sandeman Hospital, Quetta.
  • Farrukh Javeed Jinnah Postgraduate Medical Centre, Karachi.
  • Sher Hassan Sandeman Hospital, Quetta.
  • Lal Rehman JPMC, Karachi.
Keywords: Cerebrospinal Fluid (CSF) Rhinorrhea, Transcranial Approach

Abstract

Objective: To assess the outcomes of the transcranial approach in traumatic cerebrospinal fluid rhinorrhea. Study Design: Descriptive study. Setting: J.P.M.C, Karachi. Period: 15-1-2017 to 17-7- 2019. Material & Method: Total of 57 patient were included. Including criteria were patient with a history of trauma, fall, assault, and delayed onset, however, patients presenting with spontaneous cerebrospinal fluid (CSF) rhinorrhea, brain abscess, brain space-occupying lesion, skull base surgery operated elsewhere were excluded. fasia lata, Pericranial flaps were used for the surgical repair. Data were analyzed on SPSS version 22.0. Result: Patients gone through the surgical approach having intradural repair in all patients, 25 (43.85%) patients with fasia lata graft while pericranium in 32 (56.1%) and the defect was filled with small bone pieces. In 38(66.6%) unilateral sub frontal approach was done while in 19 patients (33.3 %%) bicoronal craniotomy was carried out. All patient had dura defected, 37 patients (64.9%) had a fractured cribriform plate, 9 (15%) patient had fovea ethmoidal fracture. 30(52.63%) had right side leak, 20 had left side leak (35%), 7(12.28%) had bilateral from both nasals leakage. No reoperation was done. 93% procedure showed successfully. Conclusions: This method is effective with the low rate of morbidity in patients, it can be preferred for traumatic cerebrospinal fluid (CSF) leaks with the injuries associated with the brain, recurrent leak cases with a success rate of > 93%

Author Biographies

Aurangzeb Kalhoro, Jinnah Medical and Dental College Karachi.

MBBS, FCPS

Assistant Professor Neurosurgery

Abdul Samad, Sandeman Hospital, Quetta.

MBBS, FCPS

Senior Registrar Neurosurgery

Farrukh Javeed, Jinnah Postgraduate Medical Centre, Karachi.

MBBS, FCPS Fellow

Senior Registrar Neurosurgery

 

Sher Hassan, Sandeman Hospital, Quetta.

MBBS, FCPS

Senior Registrar Neurosurgery

Lal Rehman, JPMC, Karachi.

MBBS, FCPS, MS, FRCS, CHPE

Professor and HOD Neurosurgery

Published
2021-06-10