title: Intracranial repair of posttraumatic cerebrospinal fluid rhinorrhea associated with recurrent meningitis.
abstract: OBJECTIVE
  The purposes of this study are to assess the efficacy of our intracranial surgery and evaluate the association between failure after first surgical repair and the risk factors that have been applied on a group of 13 patients affected by posttraumatic cerebrospinal fluid rhinorrhea associated with recurrent meningitis.
  
  
  METHODS
  We retrospectively collected data on 13 patients referred to our institution. All patients had history of head trauma and experienced 2 or more episodes of meningitis.
  
  
  RESULTS
  Three of the 13 patients had craniectomy defect due to previous trauma and surgery, 9 patients had linear fracture, and 1 patient had no apparent fracture line on preoperative radiologic evaluation. Ten of the 13 patients had identified frontal bone fracture involving the frontal sinus during surgery. Dural tear was identified intradurally and was repaired using a fascia lata graft with or without fibrin glue. Fibrin glue was applied over the suture in 7 patients. Three of the 13 patients had large dural defects.
  
  
  CONCLUSIONS
  The size of bone and dural defect seems to be an important prognostic factor of episodes of meningitis. The use of fibrin glue to fixate fascia lata graft did not benefit the outcome.
authors.affiliation: From the *Department of Neurosurgery, Sakarya University Training and Research Hospital, Sakarya; †Department of Neurosurgery, İzmir Tepecik Training and Research Hospital, İzmir; and ‡Department of Neurosurgery, İzmir Atatürk Training and Research Hospital, İzmir, Turkey.
authors.forename: Can
authors.initials: C
authors.lastname: Yaldiz
authors.forename: Nail
authors.initials: N
authors.lastname: Ozdemir
authors.forename: Onur
authors.initials: O
authors.lastname: Yaman
authors.forename: İsmail Ertan
authors.initials: İE
authors.lastname: Seyin
authors.forename: Serdar
authors.initials: S
authors.lastname: Oguzoglu
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002559:Cerebrospinal Fluid Rhinorrhea / Q000209:etiology / Q000601:surgery*; D002648:Child; D005206:Fascia Lata / Q000637:transplantation; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008581:Meningitis / Q000150:complications*; D008875:Middle Aged; D012008:Recurrence; D012189:Retrospective Studies; D012307:Risk Factors; D012887:Skull Fractures / Q000150:complications / Q000601:surgery*; D055815:Young Adult
chemical_list: D015718:Fibrin Tissue Adhesive