A Cerebrospinal Fluid Leak Following Endoscopic Resection of a Frontal Sinus Osteoma

2021 ◽  
pp. 93-100
Author(s):  
Kevin C. Welch
Keyword(s):  
Cerebrospinal Fluid ◽  
Endoscopic Resection ◽  
Frontal Sinus ◽  
Cerebrospinal Fluid Leak ◽  
Fluid Leak

Frontal Sinus Preservation During Cerebrospinal Fluid Leak Repair

2019 ◽  
Vol 30 (8) ◽  
pp. e763-e768 ◽  
Author(s):  
Gülpembe Bozkurt ◽  
Jacopo Zocchi ◽  
Federico Russo ◽  
Giacomo Pietrobon ◽  
Apostolos Karligkiotis ◽  
...  
Keyword(s):  
Cerebrospinal Fluid ◽  
Frontal Sinus ◽  
Cerebrospinal Fluid Leak ◽  
Fluid Leak

Endoscopic modified Lothrop procedure for repair of lateral frontal sinus cerebrospinal fluid leak

2008 ◽  
Vol 123 (1) ◽  
pp. 145-147 ◽  
Author(s):  
J K Anverali ◽  
A A Hassaan ◽  
H A Saleh
Keyword(s):  
Cerebrospinal Fluid ◽  
Frontal Sinus ◽  
World Literature ◽  
Cerebrospinal Fluid Leak ◽  
Lumbar Drain ◽  
Alternative Approach ◽  
Cerebrospinal Fluid Leaks ◽  
Fluid Leak

AbstractObjective:To describe a previously unreported case of repair of a lateral frontal sinus cerebrospinal fluid leak, using the endoscopic modified Lothrop procedure.Method:Case report of new technique, with reference to the world literature.Results:An effective endoscopic, transnasal repair of a lateral frontal sinus cerebrospinal fluid leak was achieved in a 60-year-old man. The defect was closed with fat, fascia lata and free mucosal grafts. The left nasal cavity was packed and a lumbar drain left in situ post-operatively. The drain and packs were removed one week later and the patient discharged with no complications, and no recurrence at 12 months' follow up.Conclusion:Such cerebrospinal fluid leaks have traditionally been repaired using an external approach with osteoplastic flaps and obliteration of the sinus. We highlight the endoscopic modified Lothrop technique as an effective alternative approach to repair of cerebrospinal fluid leaks in poorly accessible areas of the frontal sinus.

Changing paradigms in frontal sinus cerebrospinal fluid leak repair

2012 ◽  
Vol 2 (3) ◽  
pp. 227-232 ◽  
Author(s):  
Virginia Jones ◽  
Frank Virgin ◽  
Kristen Riley ◽  
Bradford A. Woodworth
Keyword(s):  
Cerebrospinal Fluid ◽  
Frontal Sinus ◽  
Cerebrospinal Fluid Leak ◽  
Fluid Leak

Endoscopic Resection of the Intranasal Frontal Sinus Floor

1994 ◽  
Vol 103 (12) ◽  
pp. 952-958 ◽  
Author(s):  
Lanny Garth Close ◽  
Joseph L. Leach ◽  
Norris K. Lee ◽  
Scott C. Manning
Keyword(s):  
Cerebrospinal Fluid ◽  
Nasal Cavity ◽  
Frontal Sinus ◽  
Cerebrospinal Fluid Leak ◽  
Frontal Sinusitis ◽  
External Approach ◽  
Sinus Disease ◽  
Effective Operation ◽  
Sinus Floor ◽  
Fluid Leak

The current accepted treatment for chronic frontal sinus disease unresponsive to medical management and endoscopic surgery is an external approach to either obliterate the sinus or restore communication to the nasal cavity. Here reported is an endoscopic approach for resection of the intranasal frontal sinus floor, a modification of a procedure first described by Lothrop in 1899. Eleven patients underwent this operation from April 1993 to December 1993. One complication, a cerebrospinal fluid leak treated successfully endoscopically, has occurred. Of the 7 patients followed up 3 months or longer after surgery, only 1 has developed symptoms of recurrent frontal sinusitis. On the basis of this limited preliminary experience, the endoscopic Lothrop procedure shows promise as an effective operation designed to establish a physiologic communication between the frontal sinus and the nasal cavity in selected patients who would otherwise be candidates for an external approach.

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