[Methods of identification and localization of ethmoid and sphenoid osteomeningeal breaches]

S Schmerber; K Boubagra; O Cuisnier; C Righini; E Reyt

[Methods of identification and localization of ethmoid and sphenoid osteomeningeal breaches]

Rev Laryngol Otol Rhinol (Bord). 2001;122(1):13-9.

[Article in French]

Authors

S Schmerber¹, K Boubagra, O Cuisnier, C Righini, E Reyt

Affiliation

¹ CHU de Grenoble, Clinique ORL, BP 217, F-38043 Grenoble, France. [email protected]

PMID: 11499228

Abstract

The accurate localization of cerebrospinal fluid (CSF) fistula presenting as rhinorrhea is an essential requirement for successful dural repair, in order to eliminate unsuccessful surgical exploration, and to achieve a definitive closure of the osteo-dural defect. The authors report their experience in 22 patients, and propose a simplified attitude: realization of high resolution CT scan in all cases, in first choice, and a MRI with MR cysternography sequences, in second choice, in case of negative CT scan.

Publication types

Validation Study

MeSH terms

Adult
Aged
Algorithms
Cerebrospinal Fluid Rhinorrhea / diagnosis*
Cerebrospinal Fluid Rhinorrhea / etiology
Cerebrospinal Fluid Rhinorrhea / surgery
Cisterna Magna / diagnostic imaging*
Decision Trees
Endoscopy / methods
Endoscopy / standards
Ethmoid Sinus*
Female
Humans
Magnetic Resonance Imaging / methods*
Magnetic Resonance Imaging / standards
Male
Middle Aged
Patient Selection*
Retrospective Studies
Sensitivity and Specificity
Sphenoid Sinus*
Tomography, X-Ray Computed / methods*
Tomography, X-Ray Computed / standards