Case-specific protocol to reduce cerebrospinal fluid leakage after endonasal endoscopic surgery

作者: Kunal S. Patel , Ricardo J. Komotar , Oszkar Szentirmai , Nelson Moussazadeh , Daniel M. Raper

DOI: 10.3171/2013.4.JNS13124

关键词:

摘要: Object Endoscopic transsphenoidal surgery is expanding in acceptance, yet postoperative CSF leak rates remain a concern. This study presents the Cornell closure protocol, which has yielded significantly lower compared with prior reports, as an algorithm that can be used by centers having difficulty leak. Methods A single for endoscopic been since January 2010 at Weill Medical College. prospective database noting intraoperative leak, technique, and was reviewed. The authors MEDLINE search to identify similar studies those of patients treated using algorithm. Results retrospective prospectively acquired included 209 consecutive patients. In 84 (40%) there no 125 (60%) 35 them high-flow leaks, the...

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