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Revista Española de Cirugía Oral y Maxilofacial

On-line version ISSN 2173-9161Print version ISSN 1130-0558

Abstract

ZUBILLAGA RODRIGUEZ, Ignacio; FERNANDEZ ALEN, José Antonio; SANCHEZ ANICETO, Gregorio  and  MONTALVO MORENO, Juan José. Cerebrospinal fluid fistula associated with posttraumatic recurrent sphenoidal meningocele: open-endoscopic technique. Rev Esp Cirug Oral y Maxilofac [online]. 2012, vol.34, n.4, pp.172-179. ISSN 2173-9161.  http://dx.doi.org/10.1016/j.maxilo.2011.09.008.

Introduction: Cerebrospinal fluid fistulas arise after the breakdown of the barriers that separate the nasal cavity and paranasal sinuses of the subarachnoid space, skull base, dura and arachnoid membrane. Approximately 80% arise in the context of craniofacial trauma with fractures of the skull base. The choice of approach, appropriate surgical technique in each case is essential to achieve a good overall surgical outcome. Development of endoscopic endonasal surgery has become a less invasive and effective therapeutic tool, with cerebrospinal fluid fistulas being a well-established indication for definitive treatment. Case report: A case of a patient with cerebrospinal fluid fistula associated with recurrent meningoencephalocele, treated endoscopically. Discussion: We discuss the surgical versus conservative treatment of spinal fluid fistulas, and the advantages and disadvantages of different types of approaches related to definitive management.

Keywords : Cerebrospinal fluid fistula; Meningoencephalocele; Endoscopic treatment.

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