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Cerebrospinal fluid rhinorrhoea: does fibrin glue change the surgical outcome?

Published online by Cambridge University Press:  16 July 2020

P B Ganesh ,
B M Basavarajaiah ,
B A Rudrappa  and
S K Kasaragod
P B Ganesh
Affiliation:
Department of ENT and Head and Neck, JSS Medical College, Mysore, India
B M Basavarajaiah
Affiliation:
Department of ENT and Head and Neck, JSS Medical College, Mysore, India
B A Rudrappa*
Affiliation:
Department of ENT and Head and Neck, JSS Medical College, Mysore, India
S K Kasaragod
Affiliation:
Department of ENT and Head and Neck, JSS Medical College, Mysore, India
*
Author for correspondence: Dr Babu Ambale Rudrappa, Department of ENT and head and neck, JSS Medical College, MG road, Mysore570004, India E-mail: jssent2018@gmail.com
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Abstract

Objective

Cerebrospinal fluid rhinorrhoea takes place when there is a breakdown of the barriers separating the nasal cavity from the subarachnoid space. The aim of this study was to assess the surgical outcomes of endoscopic transnasal cerebrospinal fluid leak repair with and without fibrin glue.

Method

There were 43 patients with cerebrospinal fluid rhinorrhoea who underwent surgery for cerebrospinal fluid leak repair between 2014 and 2018. Patients were divided into group A, where fibrin glue was used, and group B, where fibrin glue was not used.

Results

It was found that 74.4 per cent of cases were due to spontaneous cerebrospinal fluid leak. The most common site of a leak was the cribriform plate (65 per cent). There was a success rate of 96.1 per cent (25 of 26) in group A and 83 per cent (15 of 17) in group B. There was no statistically significant difference between the results of the two groups (chi-square test: p = 0.31).

Conclusion

There was no statistically significant difference in the results of cerebrospinal fluid leak repair with and without fibrin glue.

Keywords

Cerebrospinal Fluid RhinorrhoeaCSF LeakFibrin GlueEndoscopic Transnasal CSF Leak RepairCSF Leak Repair
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 7 , July 2020 , pp. 582 - 585
Copyright
Copyright © JLO (1984) Limited, 2020

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Footnotes

Dr B A Rudrappa takes responsibility for the integrity of the content of the paper

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