Delayed Cerebrospinal Fluid Leak Following Septoplasty

作者：Thakar Alok; Lal Priti^*; Verma Rohit

来源：Annals of Otology, Rhinology and Laryngology, 2009, 118(9): 636-638.

DOI：10.1177/000348940911800906

• cerebrospinal fluid leak
• septoplasty

We report on the clinical syndrome of delayed cerebrospinal fluid leak following septoplasty. We describe 2 such cases that we treated, and I other case described in the literature. A review of these 3 cases indicates a characteristic clinical and radiologic presentation and a consistent site of cerebrospinal fluid leak. All cases presented with cerebrospinal fluid leak 12 to 22 weeks after septoplasty and had slit-shaped dehiscences at the horizontal lamella of the cribriform plate. Endoscopic repair was successful in all. Delayed cerebrospinal fluid leaks may occur as a consequence of septal surgery. It is probable that uncontrolled twisting and rocking manipulations of the perpendicular plate of the ethmoid bone are transmitted to, and injure, the cribriform plate.

• 出版日期2009-9
• 单位河北医科大学