Otogenic cerebrospinal fluid rhinorrhea: a new technique for closure of cerebrospinal fluid leak.
OBJECTIVE
To describe a new technique for control of cerebrospinal fluid (CSF) rhinorrhea and to review alternative approaches.


METHODS
Five cases and literature review.


METHODS
Tertiary referral center.


METHODS
Five case study patients.


METHODS
Surgical.


METHODS
Control of CSF rhinorrhea.


RESULTS
CSF rhinorrhea can be controlled through eustachian tube ligation in the nasopharynx, distal to all known pathways through which CSF leaks may occur from the temporal bone into the eustachian tube.


CONCLUSIONS
Transoral eustachian tube ligation appears to be a safe and effective alternative to other techniques for controlling CSF rhinorrhea and should be included in the otologist's repertoire.
Sataloff
R T
RT
Department of Otolaryngology--Head and Neck Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Zavod
M B
MB
Myers
D L
DL
D000328:Adult; D002559:Cerebrospinal Fluid Rhinorrhea / Q000601:surgery*; D005260:Female; D006801:Humans; D013506:Otologic Surgical Procedures / Q000379:methods*