title: Endoscopic repair of cerebrospinal fluid rhinorrhoea in a developing country.
abstract: The objectives of the study was to determine the causes and outcome of endoscopic repair of cerebrospinal fluid (CSF) leak in a developing country. A total of five patients were recruited in the study. The age of patients ranged from 8 to 65 years. Four patients were male and one was female. In two cases of iatrogenic injury, the first was in the sphenoid sinus. The second was following functional endoscopic sinus surgery (FESS). Fascia lata was used to repair all cases. Beriplast was used as sealing agent in four cases and clotted blood was used in remaining case. Despite the small number, CSF rhinor rhoea was resolved in all cases. The patients were followed up for 2.5 to 6.5 years. Endoscopic repair is a viable option even in developing countries. It is cost effective and has a very low morbidity rate with no mortality at all.
authors.affiliation: Department of Otolaryngology Head & Neck Surgery, Liaquat National Hospital, Dow International Medical College, Karachi, Pakistan.
authors.forename: Saeed
authors.initials: S
authors.lastname: Akhter
authors.forename: Sadaf
authors.initials: S
authors.lastname: Zia
authors.forename: Rafay
authors.initials: R
authors.lastname: Zafar
mesh_terms: D000293:Adolescent; D000328:Adult; D002559:Cerebrospinal Fluid Rhinorrhea / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D002648:Child; D006259:Craniocerebral Trauma / Q000150:complications / Q000503:physiopathology; D004724:Endoscopy / Q000009:adverse effects / Q000379:methods; D005005:Ethmoid Sinus / Q000473:pathology / Q000601:surgery; D005206:Fascia Lata / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008588:Meningocele / Q000150:complications / Q000503:physiopathology; D008875:Middle Aged; D011183:Postoperative Complications / Q000503:physiopathology / Q000601:surgery; D013101:Sphenoid Sinus / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome