Skip to main content
SpringerLink
Log in

Repair of cerebrospinal fluid rhinorrhoea with pedicled dural flap

  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Abstract

Four cases of persistent cerebrospinal fluid rhinorrhoea through the ethmoid sinus are presented. Using the operative microscope, the margin of the dural defect was easily identified, and a pedicled dural flap supplied by branches of a meningeal artery was successfully sutured to the dural margin in a watertight fashion without increasing pre-existing neurological deficits. To prevent intracranial infection, the watertight closure with a predicled dural flap is presumably more complete and reasonable than are various grafts without vascular circulation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Adson, A. W., Cerebrospinal rhinorrhea: Surgical repair of cranio-sinus fistula. Ann. Surg.114 (1941), 697–705.

    Google Scholar 

  2. Adson, A. W., Uihlein, A., Repair of defects in ethmoid. Arch. Surg.58 (1949), 623–634.

    Google Scholar 

  3. Albin, M. S., D'Agostino, A. N., White, R. J., Grindlay, J. H., Nonsuture sealing of a dural substitute utilizing a plastic adhesive, methyl-2-cyanoacrylate. J. Neurosurg.19 (1962), 545–550.

    Google Scholar 

  4. Angstwurm, H., Jakoby, W., Weber, E., Die Methoden der Duraplastik. Acta neurochir. (Wien)11 (1963), 34–60.

    Google Scholar 

  5. Becker, A., Die Anwendung von Fiberschaum bei der Versorgung basofrontaler Dura-Hirnverletzungen. Arch. Ohrenheilk.165 (1954), 229–235.

    Google Scholar 

  6. Busch, E., Bing, J., Hensen, E. H., Gelatine and polyethylene film as dura substitutes and polythene plates as bone substitute in skull defects. Acta chir. scand.77 (1949), 410–416.

    Google Scholar 

  7. Cairns, H., Injuries of the frontal and ethmoidal sinuses with special reference to cerebrospinal rhinorrhoea and aeroceles. J. Laryng.52 (1937), 589–623.

    Google Scholar 

  8. Calvert, C. A., Injuries of the frontal and ethmoidal sinuses. Proc. roy. Soc. Med.35 (1942), 805–809.

    Google Scholar 

  9. Cloward, R. B., Cunningham, E. B., The use of gelatin sponge in prevention and treatment of cerebrospinal rhinorrhea. J. Neurosurg.4 (1947), 519–525.

    Google Scholar 

  10. Cushing, H., Experiences with orbito-ethmoidal osteomata having intracranial complications with the report of four cases. Surg. Gynec. Obstet.44 (1927), 721–743.

    Google Scholar 

  11. Dandy, W. E., Pneumocephalus (intracranial pneumatocele or aerocele). Arch. Surg.12 (1926), 949–982.

    Google Scholar 

  12. Dietz, H., Die frontobasale Schädelhirnverletzung. Monographien aus dem Gesamtgebiete der Neurologie und Psychiatrie, Vol. 130. Berlin-Heidelberg-New York: Springer. 1970.

    Google Scholar 

  13. Dohlman, G., Spontaneous cerebrospinal rhinorrhoea. Acta Otolaryng. (Suppl.)67 (1948), 20–23.

    Google Scholar 

  14. Eden, K., Traumatic cerebrospinal rhinorrhoea. Repair of the fistula by a transfrontal intradural operation. Brit. J. Surg.29 (1941), 299–303.

    Google Scholar 

  15. Fox, N., Cure in a case of cerebrospinal rhinorrhoea. Arch. Otolaryng.17 (1933), 85–86.

    Google Scholar 

  16. German, W. J., Cerebrospinal rhinorrhea — Surgical repair. J. Neurosurg.1 (1944), 60–66.

    Google Scholar 

  17. Grote, W., Traumatische frontobasale Liquorfisteln. Chirurg37 (1966), 102–105.

    PubMed  Google Scholar 

  18. Grote, W., Traumatische Liquorfisteln im Kindes- und Jugendalter. Z. Kinderchir.3 (1966), 11–20.

    Google Scholar 

  19. Grant, F. C., Intracranial aerocele following a fracture of the skull. (Report of a case with review of the literature). Surg. Gynec. Obstet.36 (1923), 251–255.

    Google Scholar 

  20. Hirsh, O., Successful closure of cerebrospinal fluid rhinorrhoea by endonasal surgery. Arch. Otolaryng.56 (1952), 1–12.

    Google Scholar 

  21. Lehman, R. A. W., Hayes, G. J., Martins, A. N., The use of adhesive and lyophilized dura in the treatment of cerebrospinal rhinorrhoea. J. Neurosurg.26 (1967), 92–95.

    PubMed  Google Scholar 

  22. Lewin, W., Cerebrospinal fluid rhinorrhoea in closed head injuries. Brit. J. Surg.42 (1954), 1–8.

    PubMed  Google Scholar 

  23. Lewin, W., Cerebrospinal fluid rhinorrhoea in non-missile head injuries. Clin. Neurosurg.12 (1964), 237–252.

    PubMed  Google Scholar 

  24. Miller, W. R. H., Cerebrospinal fluid rhinorrhoea and otorrhea. Clin. Neurosurg.19 (1972), 263–270.

    PubMed  Google Scholar 

  25. Ommaya, A. K., DiChiro, G., Baldwin, M., Pennybecker, J. B., Non-traumatic cerebrospinal fluid rhinorrhoea. J. Neurol. Neurosurg. Psychiat.31 (1968), 214–225.

    PubMed  Google Scholar 

  26. Probst, C., Rahn, B. A., Plastic closure of frontobasal fistulae using Biobond-Tabostamp. Clinical and Experim. Trials18 (1972), 203–212.

    Google Scholar 

  27. Ray, B. S., Bergland, R. M., Cerebrospinal fluid fistula; clinical aspects, techniques of localization and methods of closure. J. Neurosurg.30 (1969), 399–405.

    PubMed  Google Scholar 

  28. Teachenor, F. R., Pneumoventricle of the cerebrum following fracture of the skull. Ann. Surg.78 (1923), 561–567.

    Google Scholar 

  29. Teng, P., Papatheodrou, Ch., The use of Teflon as a durai substitute and its other neurosurgical applications. J. Neurol. Neurosurg. Psychiat.26 (1963), 244–248.

    PubMed  Google Scholar 

  30. Van der Ark, G. D., Pitkethly, D. T., Ducker, T. B., Kempe, L. G., Repair of cerebrospinal fluid fistulas using a tissue adhesive. J. Neurosurg.33 (1970), 151–155.

    PubMed  Google Scholar 

  31. Wappenschmidt, J., Grote, W., Zur Klinik und Behandlung frontobasaler Liquorfisteln. Chirurg29 (1958), 369–376.

    PubMed  Google Scholar 

  32. Wessels, A., Report of case of spontaneous cerebrospinal rhinorrhoea with operative cure. Ann. Otol. Rhino. Laryng.48 (1939), 528–530.

    Google Scholar 

Download references

Author information

Author notes

  1. H. Ito, A. Ishikura, Sh. Marukawa & Sh. Yamamoto

    Present address: Department of Neurosurgery, School of Medicine, University of Kanazawa, Japan

Authors and Affiliations

    Authors
    1. H. Ito
      View author publications

      You can also search for this author in PubMed Google Scholar

    2. A. Ishikura
      View author publications

      You can also search for this author in PubMed Google Scholar

    3. Sh. Marukawa
      View author publications

      You can also search for this author in PubMed Google Scholar

    4. Sh. Yamamoto
      View author publications

      You can also search for this author in PubMed Google Scholar

    Rights and permissions

    Reprints and permissions

    About this article

    Cite this article

    Ito, H., Ishikura, A., Marukawa, S. et al. Repair of cerebrospinal fluid rhinorrhoea with pedicled dural flap. Acta neurochir 45, 237–246 (1979). https://doi.org/10.1007/BF01769138

    Download citation

    • Issue Date:

    • DOI: https://doi.org/10.1007/BF01769138

    Keywords

    Search

    Navigation