[Lumboperitoneal shunt in persistent or recurrent fistulae of the base of skull. Apropos of 20 cases].
The authors describe the use of the lumbo peritoneal shunt (L.P.S.) in 20 cases of C.S.F. rhinorrhea following either cranial injury [13] basal skull surgery [2] or of unknown etiology [5]. 16 patients had previously undergone an attempt at direct closure of their fistula and are therefore cases in which the direct approach failed. 4 patients underwent the L.P.S. straightaway. In 17 cases the fistula was healed by the L.P.S. without any recurrence, though a shunt removal was necessary in 5 cases. The method was unsuccessful in only 3 cases.
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002559:Cerebrospinal Fluid Rhinorrhea / Q000601:surgery*; D002557:Cerebrospinal Fluid Shunts; D002648:Child; D005402:Fistula / Q000601:surgery*; D006801:Humans; D007223:Infant; D008159:Lumbar Vertebrae; D008875:Middle Aged; D010537:Peritoneum; D012008:Recurrence; D012886:Skull
L'utilisation de la dérivation lombo-péritonéale dans les fistules de L.C.R. de la base du crâne persistantes ou récidivantes. A propos de 20 cas.