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KMID : 0390220130240020242
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Journal of Clinical Otolaryngology, Head and Neck Surgery
2013 Volume.24 No. 2 p.242 ~ p.246
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Septal Cartilage Button Plug with Free Mucosa Technique in Spontaneous Cerebrospinal Fluid Rhinorrhea which Postoperatively Diagnosed with Partial Empty Sellar Syndrome
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Chang Chul
Kim Kwang-Joong
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Abstract
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The otolaryngologist should consider the empty sella syndrome as a diagnostic possibility when evaluating patients with nontraumatic spontaneous Cerebrospinal Fluid (CSF) rhinorrhea. Spontaneous CSF leak patients that do not exhibit florid symptoms of benign intracranial hypertension (BIH) may have their own internal CSF diversion because they are actively leaking CSF before surgical repair. They could have the potential to develop elevated Intracranial Pressure (ICP) and BIH after CSF leaks have been successfully closed. We describe one patient who presented with headache, papilledema, and visual disturbance after surgical repair of CSF leakage. The leakage site was repaired by placement of septal cartilage plug with free mucosal suture graft. This method addresses the fundamental biomechanical stability and reduces the complexity of the multilayer packing method, and demonstrated effectiveness at sealing.
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KEYWORD
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CSF rhinorrhea, Empty sella syndrome, Endoscopic repair
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