Percutaneous computer tomography-guided technique to close postsurgical cerebrospinal fluid fistulas of the frontal sinus.
BACKGROUND
The occurrence of cerebrospinal fluid fistulas of the frontal sinus after anterior skull base surgery is not rare. The extracerebral techniques to repair cerebrospinal fluid fistulas are often used, especially because they avoid open-air surgical operations.


METHODS
A percutaneous CT-guided technique to close postsurgical cerebrospinal fluid fistulas of the frontal sinus in three patients after anterior skull base surgery is presented in this report. Ten millimeters of human fibrin glue was injected into the frontal sinus through one of the burr holes of the bone flap by an 18-gauge spinal needle.


RESULTS
After an average follow-up period of 2.8 years, all three patients are in excellent general and neurological conditions and have not shown any further signs of rhinoliquorrhea.


CONCLUSIONS
The presented percutaneous CT-guided technique can be considered a valid and harmless solution to closer small or moderate cerebrospinal fluid fistula that occurred after anterior skull base surgery.
Fraioli
Mario Francesco
MF
Department of Neurosciences and Neurosurgery, Policlinic of Tor Vergata, University of Rome Tor Vergata, 00133 Rome, Italy. b.fraioli@libero.it
Contratti
Filiberto
F
Fraioli
Chiara
C
Floris
Roberto
R
D000328:Adult; D002559:Cerebrospinal Fluid Rhinorrhea / Q000209:etiology / Q000473:pathology / Q000601:surgery; D035262:Cranial Fossa, Anterior / Q000293:injuries / Q000473:pathology / Q000601:surgery*; D005260:Female; D005402:Fistula / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D005626:Frontal Sinus / Q000293:injuries / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000009:adverse effects / Q000379:methods*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D012086:Reoperation / Q000295:instrumentation / Q000379:methods; D025321:Surgery, Computer-Assisted / Q000295:instrumentation / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000295:instrumentation / Q000379:methods*; D016896:Treatment Outcome