Multilayered Closure of Cerebrospinal Fluid Rhinorrhea with Inlay Fascia Lata, Autologous Fat, and Outlay Fascia Lata: Our Experience

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dc.contributor.authorEryilmaz, Mehmet Akif
dc.contributor.authorAnagil, Mitat
dc.contributor.authorAlan, Mehnnet Akif
dc.date.accessioned2024-02-23T14:26:39Z
dc.date.available2024-02-23T14:26:39Z
dc.date.issued2016
dc.departmentNEÜen_US
dc.description.abstractBackground/Aims: Since the initial use in 1981 by Wigand, different endoscopic endonasal surgery techniques have been proposed to close ventral skull base defects, all of which include multilayer closure involving vascularized mucoseptal flaps, autologous grafts, and synthetic materials. These methods are used individually or in combination, as required by the operative condition. Methods: In this study we aimed to describe our endoscopic technique using inlay-outlay fascia lata and autologous fat with fibrin sealant to close spontaneous and traumatic cerebrospinal fluid (C5F) rhinorrhea. Results and Conclusion: Twenty-one CSF rhinorrhea patients were operated with this technique in our hospital. Two patients had large skull base defects and 15 patients had high-flow CSF leaks. We reached a 100% success rate in the first attempt without any long-term recurrence. Multilayered endoscopic closure with this technique offers satisfactory results with minimal morbidity even in large defects and high-flow CSF leaks. (C) 2016 S. Karger AG, Baselen_US
dc.identifier.doi10.1159/000451002
dc.identifier.endpage295en_US
dc.identifier.issn0301-1569
dc.identifier.issn1423-0275
dc.identifier.issue5en_US
dc.identifier.pmid27846635en_US
dc.identifier.scopus2-s2.0-84995811019en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage289en_US
dc.identifier.urihttps://doi.org/10.1159/000451002
dc.identifier.urihttps://hdl.handle.net/20.500.12452/14274
dc.identifier.volume78en_US
dc.identifier.wosWOS:000388504900008en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherKargeren_US
dc.relation.ispartofOrl-Journal For Oto-Rhino-Laryngology Head And Neck Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectEndoscopyen_US
dc.subjectSkull Baseen_US
dc.subjectLeakageen_US
dc.subjectRhinorrheaen_US
dc.subjectFascia Lataen_US
dc.titleMultilayered Closure of Cerebrospinal Fluid Rhinorrhea with Inlay Fascia Lata, Autologous Fat, and Outlay Fascia Lata: Our Experienceen_US
dc.typeArticleen_US

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