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전두동 후벽에서 발생한 재발성 뇌척수액 비루 환자에서 Above and Below Technique을 이용한 내시경적 치험 1예

Title
전두동 후벽에서 발생한 재발성 뇌척수액 비루 환자에서 Above and Below Technique을 이용한 내시경적 치험 1예
Other Titles
Endoscopic Repair with Above and Below Technique of Recurrent Cerebrospinal Fluid Leak from the Posterior wall of Frontal Sinus: Case Report
Author
조석현
Keywords
뇌척수액; 전두동; 누출; 내시경; 지방; Cerebrospinal fluid; Frontal; Leakage; Endoscopic; Fat
Issue Date
2016-12
Publisher
대한비과학회
Citation
Journal of Rhinology, v. 23, NO. 2, Page. 124-129
Abstract
Cerebrospinal fluid (CSF) rhinorrhea can be caused by head trauma, brain or sinus surgery, or neoplastic sinonasal disease. There are many diverse techniques for repairing skull base defects, and recently there has been a shift from using external approaches to endoscopic approaches. The reported success rate after endoscopic repair is 97%, but CSF rhinorrhea may recur in some cases. Recently, we witnessed one case of recurrent CSF rhinorrhea from the posterior wall of the frontal sinus after a traffic accident. The patient was a 48-year-old male and had recurrent CSF rhinorrhea, severe pneumocephalus and mental change even after a CSF leakage repair operation was performed by the neurosurgeon using the periosteal flap. We successfully treated recurrent frontal CSF rhinorrhea with fat graft and mucosal graft, using the above and below approach with the guidance of a navigation system.
URI
https://synapse.koreamed.org/DOIx.php?id=10.18787/jr.2016.23.2.124http://repository.hanyang.ac.kr/handle/20.500.11754/102611
ISSN
1229-1498; 2384-4361
DOI
10.18787/jr.2016.23.2.124
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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