title: [Surgical approach and materials in reparation of cerebrospinal rhinorrhea (54 cases reports)].
abstract: OBJECTIVE
  To find out the best surgical approach and repair material in repairing cerebrospinal rhinorrhea by comparing their characteristics.
  
  
  METHODS
  The clinical data of 54 cases from March 1983 to June 2001 with continuous cerebrospinal rhinorrhea treated by different approaches and repair materials were retrospective analyzed.
  
  
  RESULTS
  The highest recurrent rate was by anterior cranial fossa approach, while the lowest was by nasal endoscope. The bleeding volume in nasal endoscope approach was less than other surgical approaches with the significant differences (P <0.01). Galea frontalis myofascial flap and fascia lata were often used to repair fistula in operation.
  
  
  CONCLUSIONS
  Nasal endoscope is the best approach. Cranionasal combination approach can be used in cases with larger defect in basis crania by galea frontalis myofascial flap reparation. The proper approach and repair materials should be selected according to the practical situation.
authors.affiliation: Department of Otorhinolaryngology, Shenzhen Armed Policmen Hospital, Shenzhen, 518029, China. zhangyungao2006@126.com
authors.forename: Yungao
authors.initials: Y
authors.lastname: Zhang
authors.forename: Rongguang
authors.initials: R
authors.lastname: Wang
authors.forename: Wenming
authors.initials: W
authors.lastname: Wu
authors.forename: Dongyi
authors.initials: D
authors.lastname: Han
authors.forename: Deliang
authors.initials: D
authors.lastname: Huang
authors.forename: Weiyan
authors.initials: W
authors.lastname: Yang
authors.forename: Lei
authors.initials: L
authors.lastname: Chen
authors.forename: Zhigang
authors.initials: Z
authors.lastname: He
authors.forename: Jianmin
authors.initials: J
authors.lastname: Liu
authors.forename: Jiangyong
authors.initials: J
authors.lastname: Ou
authors.forename: Tao
authors.initials: T
authors.lastname: Huang
mesh_terms: D000293:Adolescent; D000328:Adult; D002559:Cerebrospinal Fluid Rhinorrhea / Q000601:surgery*; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009296:Nasal Cavity / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D019291:Skull Base / Q000601:surgery; D013524:Surgical Flaps; D055815:Young Adult