title: The Results of the Surgical Treatment of Spontaneous Rhinorrhea via Craniotomy and the Contribution of CT Cisternography to the Detection of Exact Leakage Side of CSF.
abstract: OBJECTIVE
  To share the results of conventional surgery in rhinorrhea and the contribution of computerized tomography (CT) cisternography to determination of the site of cerebrospinal fluid (CSF) leak.
  
  
  METHODS
  Twelve cases treated for spontaneous rhinorrhea were included in this study. All the cases underwent cranial CT and magnetic resonance imaging (MRI). CT cisternography was performed in four patients whose bone defect or leakage site could not be detected by CT and MRI. In order to repair the defect, either the galea or galea together with collagen matrix was used and the procedure was supported with fibrin glue.
  
  
  RESULTS
  In the cases, postoperative rhinorrhea was seen in neither the early nor the late follow up period. We observed no complications related to CT cisternography or craniotomy. The leakage area was successfully detected with CT cisternography when the other methods failed.
  
  
  CONCLUSIONS
  Bone defect can usually be shown by means of CT. However, when bone-defect cannot be shown or the dura in the defective area is intact, CT cisternography is useful to show the CSF leak. Conventional surgery was very succesful in the treatment of spontaneous rhinorrhea but it was cosmetically problematic. In the patients both treated with galea and galea together with collagen matrix, the repair of the defect was successful.
authors.affiliation: Erciyes University, Medical Faculty, Department of Neurosurgery, Kayseri, Turkey.
authors.forename: Abdulfettah
authors.initials: A
authors.lastname: Tumturk
authors.forename: Halil
authors.initials: H
authors.lastname: Ulutabanca
authors.forename: Abdulkerim
authors.initials: A
authors.lastname: Gokoglu
authors.forename: Sukru
authors.initials: S
authors.lastname: Oral
authors.forename: Ahmet
authors.initials: A
authors.lastname: Menku
authors.forename: Ali
authors.initials: A
authors.lastname: Kurtsoy
mesh_terms: D000328:Adult; D000368:Aged; D065634:Cerebrospinal Fluid Leak / Q000150:complications; D002559:Cerebrospinal Fluid Rhinorrhea / Q000000981:diagnostic imaging* / Q000601:surgery*; D002946:Cisterna Magna / Q000000981:diagnostic imaging*; D003094:Collagen / Q000627:therapeutic use; D003399:Craniotomy / Q000009:adverse effects*; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed
chemical_list: D015718:Fibrin Tissue Adhesive; D003094:Collagen