title: Endoscopic endonasal repair of spontaneous CSF fistulae.
abstract: The authors present a fully endoscopic endonasal repair of a spontaneous CSF leak caused by a defect in the anterior fossa floor. Patients were positioned supine in a Mayfield headholder in slight extension. A complete ethmoidectomy was performed to expose the defect. The middle turbinate was removed to increase visualization and allow for more working room. The defect was identified and exposed. A nasoseptal flap was raised and placed over the defect. A free-mucosal graft fashioned from the removed middle turbinate was placed on the nasoseptal donor site. The video can be found here: http://youtu.be/gAN2cvQVXCE .
authors.affiliation: 1Departments of Neurological Surgery and.
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Tormenti
authors.affiliation: 1Departments of Neurological Surgery and.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Paluzzi
authors.affiliation: 2Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
authors.forename: Carlos D
authors.initials: CD
authors.lastname: Pinheiro-Neto
authors.affiliation: 1Departments of Neurological Surgery and.
authors.forename: Juan C
authors.initials: JC
authors.lastname: Fernandez-Miranda
authors.affiliation: 2Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
authors.forename: Carl H
authors.initials: CH
authors.lastname: Snyderman
authors.affiliation: 1Departments of Neurological Surgery and.|2Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
authors.forename: Paul A
authors.initials: PA
authors.lastname: Gardner
keywords: cerebrospinal fluid; endonasal repair; endoscopic approach; ethmoidectomy; fistulae; video