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Medical Journal of Islamic Republic of Iran، جلد ۲۲، شماره ۱، صفحات ۱۲-۱۶

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عنوان انگلیسی Endoscopic management of cerebrospinal fluid rhinorrhea from anterior skull base defects
چکیده انگلیسی مقاله Abstract Background: Over the past 20 years, the minimally invasive endoscopic approach has gained widespread acceptance. The study was performed to evaluate the diagnostic method and the success rate of endoscopically diagnosed and treated CSF rhinorrhea, and also investigations such as leakage site and etiologic factor. Methods: This retrospective CSF leakage management review of patients experiencing CSF rhinorrhea made from 1999-2006 included data regarding leakage etiology, preoperative assessment, intraoperative techniques and postoperative followup. Result: Sixty-five patients were managed endoscopically. CSF rhinorrhea etiology was traumatic in 30 cases, iatrogenic in 23 and spontaneous in 12. We used nasal endoscopy and high resolution computed tomography (HRCT) in all 65 cases while CT metrizamide cisternography was used in 5 specifically and magnetic resonance imaging for 5 others. Intrathecal fluorescein was used for intraoperative assessment without complications, and only one case of meningismus was noted. Conclusion: Several imaging methods were effective in diagnosing CSF leakage sites. Endoscopic management and autografts were successful in repairing anterior skull defects in 90.76% of the cases.
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نویسندگان مقاله شباهنگ محمدی | shabahang mohammadi
y, department of otorhinolaryngology-head neck surgery, hazrate-rasool hospital, iran university of medical sciences,

سازمان اصلی تایید شده: دانشگاه علوم پزشکی ایران (Iran university of medical sciences)
سازمان های دیگر: Hazrate-Rasool Hospital

احمد دانشی | ahmad daneshi
department of otorhinolaryngology-head amp; neck surgery, hazrat-e rasool hospital, iran university of medical sciences.

سازمان اصلی تایید شده: دانشگاه علوم پزشکی ایران (Iran university of medical sciences)
سازمان های دیگر: Hazrate-Rasool Hospital

محمد فرهادی | mohammad farhadi
department amp; research center of otorhinolaryngology-head amp; neck surgery, hazrat-e rasool hospital.

سازمان های دیگر: Hazrate-Rasool Hospital

صالح محبی | saleh mohebbi
head and neck surgery, shahid mohammadi hospital bandar abbas .

سازمان های دیگر: Shahid Mohammadi Hospital


نشانی اینترنتی http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-55&slc_lang=en&sid=en
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