title: Non-pedicled vs vascular pedicled nasal flap in repair of cerebrospinal fluid rhinorrhea.
abstract: CONCLUSIONS
  In our study, pedicled nasal flap (NF) did not provide better results than free nasal graft (NG) for primary closure of cerebrospinal fluid (CSF) rhinorrhea. In the future, a multicenter randomized study would be needed to confirm this result. The choice of surgical technique will depend on the surgeon's experience, and the position and size of the defect.
  
  
  OBJECTIVE
  To evaluate our results in repairing CSF leaks, comparing the two techniques we used: free NG and pedicled NF.
  
  
  METHODS
  A total of 33 patients diagnosed with CSF rhinorrhea were operated on between June 2000 and May 2010; 17 were women. The mean age was 44.7 years (± 13.0). Twenty-two (66.6%) NFs of the middle and lower turbinate and septum were performed, the rest being NGs of the middle and lower turbinate only. A descriptive statistical analysis and a Kaplan-Meier survival analysis were carried out and the log-rank statistic was used to compare both techniques.
  
  
  RESULTS
  In the present study, 78% of defects were closed in all cases; NF was used in 86% (19) and NG in 63.63% (7). The mean follow-up was 71.5 (95% confidence interval (CI), 56.9-86.1) months. There were no statistically significant differences (p > 0.05).
authors: Department of Otolaryngology-Head and Neck Surgery, Reina Sofía University Hospital, School of Medicine, University of Cordoba, Spain. draguilarorl@hotmail.com
authors: J
authors: J
authors: Aguilar Cantador
authors: A
authors: A
authors: Jurado-Ramos
authors: J
authors: J
authors: Gutiérrez Jodas
authors: N
authors: N
authors: Müller Locatelli
authors: E
authors: E
authors: Cantillo Baños
authors: F
authors: F
authors: Muñoz Del Castillo
mesh_terms: D000328:Adult; D002559:Cerebrospinal Fluid Rhinorrhea / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D059747:Nasal Surgical Procedures / Q000379:methods*; D009666:Nose / Q000601:surgery*; D012189:Retrospective Studies; D013524:Surgical Flaps