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KMID : 0900220170240010037
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대한비과학회지
2017 Volume.24 No. 1 p.37 ~ p.41
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Endoscopic Repair of Spontaneous Cerebrospinal Fluid Rhinorrhea with a Nasoseptal Flap
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Lee Sang-Kuk
Jung Jae-Hyun
Lee Seung-Jae
Lee Jae-Yong
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Abstract
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Cerebrospinal fluid (CSF) rhinorrhea is classified into traumatic and non-traumatic types. Traumatic CSF rhinorrhea comprises the majority of cases, and major causes include head trauma, rhinologic procedures, and neurosurgery. Non-traumatic (spontaneous) CSF rhinorrhea with normal cerebrospinal pressure is a rare condition, occurring in only 4% of cases. We recently experienced a case of spontaneous CSF rhinorrhea complicated with bacterial meningitis. The defect site was identified in the left sphenoid sinus and was successfully repaired with a nasoseptal flap under an endoscopic approach. We present the etiology, classification, and treatment of this rare disease entity with a review of the literature.
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KEYWORD
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Cerebrospinal fluid, Rhinorrhea, Spontaneous, Septal, Flap
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