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