Türk Nöroşirürji Dergisi 2013 , Vol 23 , Num 3
Endoscopic Endonasal Treatment and Outcomes of Diverse CSF Rhinorrhea Cases
Ali Erdem YILDIRIM1, Nuri Eralp ÇETİNALP1, Denizhan DİVANLIOĞLU1, Fatih ALAGÖZ1, Engin DURSUN2, Ahmed Deniz BELEN1
1Ankara Numune Eğitim ve Araştırma Hastanesi, Nöroşirürji Kliniği, Ankara, Türkiye
2Recep Tayyip Erdoğan Üniversitesi, Tıp Fakültesi, KBB Anabilim Dalı, Rize, Türkiye
AIM: Rhinorrhea, which is a rare situation, is an abnormal connection between the subarachnoid and extracranial regions. However although it is unusual, it has a serious risk of morbidity and mortality when not properly treated. Although trauma is the most common reason of rhinorrhea, it may also develop due to intracranial hypertension, idiopathic or iatrogenic reasons. The diagnosis can be verified by testing the fluid for beta-2-transferrin and with radiological examinations.

MATERIAL and METHODS: We presented the etiology and endoscopic endonasal treatment results of 13 rhinorrhea cases not releated with endoscopic pituitary surgery between the years 2010 and 2013.

RESULTS: Rhinorrhea arose from traumatic skull base fractures in 6 and spontaneous meningocele in 3 cases, and clinoidectomy for aneurysm surgery in 1, firearm trauma in 1, surgery for tuberculum sellae meningioma in 1 and pseudotumor cerebri in 1 case. All patients were treated with the multilayer method via the endoscopic endonasal approach.

CONCLUSION: All patients recovered perfectly free of rhinorrhea and without any complications. The average hospitalization period of the patients was 5 days. There was no tumor recurrence during the 21.5-month mean clinical follow-up period. Several methods have been used in the treatment of rhinorrhea. Endoscopic endonasal approach is becoming the first choice of rhinorrhea management thanks to its increasing use. Anahtar Kelimeler : Endoscopic endonasal, Rhinorrhea, Treatment