Fluid Leak
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Cureus ◽  
2021 ◽  
Christian T Ogasawara ◽  
Kurtis Young ◽  
Princess Jhoy Bonilla ◽  
Thomas Noh ◽  
John Cho

2021 ◽  
pp. 014556132110376
Justin P. McCormick ◽  
Jonathan Raskin ◽  
Jivianne T. Lee

Balloon sinus dilation (BSD) is a common method of relieving sinus outflow obstruction. With the rising utilization of BSD, increasing numbers of BSD-related complications have also been reported. Here, we report a case of pneumocephalus and cerebrospinal fluid leak following BSD of the frontal sinus. Additionally, a review of the literature regarding BSD complications was performed.

2021 ◽  
pp. 014556132110168
Antonio Minni ◽  
Luca Roncoroni ◽  
Fabrizio Cialente ◽  
Federica Zoccali ◽  
Andrea Colizza ◽  

Objectives: The aim of this study was to report the surgical management experience of patients with osteomas of the frontal and ethmoid sinuses performed in 2 metropolitan Italian hospitals between 2012 and 2019. Methods: A retrospective chart review of cases of frontal and ethmoid osteomas from the Ca’ Granda Niguarda Hospital of Milan and the Policlinico Umberto I University Hospital of Rome was performed. All patients underwent preoperative computed tomography and, when orbital or intracranial extension was suspected, magnetic resonance imaging. Surgical treatment was performed according to Chiu classification. Results: A total of 38 cases of frontal and ethmoid sinus osteomas were included in the study; 22 patients were men and 16 were women. The mean age at diagnosis was 49 years. Seven (18.4%) patients were treated using an open approach; 3 (7.9%) patients underwent open and endoscopic approach; the remaining 28 (73.7%) patients were treated with endoscopic approach. Seven (18.4%) patients had a cerebrospinal fluid leak intraoperatively and were treated with the placement of tissue graft through the defect. The mean follow-up time was 18 months; no recurrence was observed at 12-month follow-up. Conclusion: Osteomas of the frontal and ethmoid sinuses can be treated using different techniques, mostly endoscopically. The choice of surgical approach (endoscopic vs open) depends on the location and size of the osteoma, anatomical size, characteristic of the sinus, surgeon’s experience, and available existing technical facilities. Cerebrospinal fluid leak is a possible complication of surgery.

Pascale Aouad ◽  
Nancy M. Young ◽  
Amanda M. Saratsis ◽  
Meredith A. Reynolds ◽  
Maura E. Ryan

2021 ◽  
Vol Publish Ahead of Print ◽  
Laura Christopher ◽  
William Slattery ◽  
Gregory U. Lekovic ◽  
Gautam U. Mehta ◽  
Mia Miller

2021 ◽  
Carl Lo ◽  
Sang Le ◽  
Eugene Kim

Epidural blood patches are considered definitive treatment for postdural puncture headache in adult patients. However, they are infrequently used in children or in patients with altered spine anatomy. In patients who have undergone recent spine surgery, the lumbar epidural space can be approached safely via the caudal canal. Our case demonstrates a novel technique to perform an epidural blood patch from a caudal approach using a commonly available central line kit for a 15-year-old patient with severe spinal headache due to cerebrospinal fluid leak following a hemilaminectomy.

2021 ◽  
Vol 16 (8) ◽  
pp. 1931-1933
Tran Phan Ninh ◽  
Truong Quang Dinh ◽  
Thieu-Thi Tra My ◽  
Bui-Thi Phuong Thao ◽  
Bui Khac Hieu ◽  

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