Endoscopic cerebrospinal fluid rhinorrhea repair of 7 cases.docVIP

 PAGE \* MERGEFORMAT 7 Endoscopic cerebrospinal fluid rhinorrhea repair of 7 cases Of: DEFENSE He Yunsheng, Zheng Jianwen, Qian Hong [Keywords:] of cerebrospinal fluid rhinorrhea; nasal endoscopy; repair The incidence of cerebrospinal fluid rhinorrhea common Yu trauma, as endoscopic technology continues to mature, cerebrospinal fluid rhinorrhea repair significantly improved the success rate of surgery. I Division in January 2003 -2006 on December 7 patients in the endoscopic patients with cerebrospinal fluid rhinorrhea repair, were successful, are as follows. 1?? Clinical data 1.1?? General information?? My inpatient treatment of cerebrospinal fluid rhinorrhea 7 patients, including 3 males and 4 females, aged 21 to 47 years, mean age 31.5 years. Spontaneous cerebrospinal fluid leakage in 1 case, 6 cases traumatic cerebrospinal fluid rhinorrhea. clinical manifestations are like water nose, intermittent seizures, especially in the breath, bow force, was coughing, of which 2 cases with recurrent meningitis. the given conservative treatment fails. skull cranial CT showed floor fracture in 6 cases, 1 case of pneumocephalus, by CT, MRI, endoscopic examination and urine test strips to determine [1], found that the amount of leakage in the screen at the junction of mouth in 1 case, the top screen in 3 cases, 2 cases of sieve . 1.2?? Surgical methods?? By Germany STORTZ 0 , 30 , 70 c Endoscopic view. The groups received general anesthesia, the slope lying, piece of cotton to the convergence of adrenal nasal mucosa. Preoperative judgments based on leakage outlet location using different surgical procedures, the key is to find the leak port, combined with CT, MRI, endoscopic examination and urine test strips to determine the initial position. endoscopy can see a white prominent crater-like mouth leak, see pulse of clear liquid overflow drain with a curette scraping around the mouth mucosa, subdural drain rim scraping, the formation of fresh wound, fill