[Surgical approach and materials in reparation of cerebrospinal rhinorrhea (54 cases reports)].
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.
Zhang
Yungao
Y
Department of Otorhinolaryngology, Shenzhen Armed Policmen Hospital, Shenzhen, 518029, China. zhangyungao2006@126.com
Wang
Rongguang
R
Wu
Wenming
W
Han
Dongyi
D
Huang
Deliang
D
Yang
Weiyan
W
Chen
Lei
L
He
Zhigang
Z
Liu
Jianmin
J
Ou
Jiangyong
J
Huang
Tao
T
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