Endoscopic repair of cribriform plate cerebrospinal fluid leaks: An easy and reproducible technique sparing the middle turbinate
Author links open overlay panelChristopher J.ItoaNelsonMaybStilianosKountakisc
a
Department of Otolaryngology-Head and Neck Surgery, University of Massachusetts Medical School, Worcester, MA, United States of America
b
Department of Otolaryngology-Head and Neck Surgery, Wake Forest School of Medicine, Winston-Salem, NC, United States of America
c
Department of Otolaryngology-Head and Neck Surgery, Augusta University, Augusta, GA, United States of America
Received 26 October 2019, Available online 1 November 2019.

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https://doi.org/10.1016/j.amjoto.2019.102339Get rights and content
Abstract
Objective
The purpose of this study was to evaluate the outcomes of patients with cribriform cerebrospinal fluid leaks undergoing endoscopic repair with an easy and reproducible middle turbinate-sparing technique.

Material and methods
Date was obtained by retrospective chart review and includes a description of the technique with technical pearls and contraindications to the approach.

Results
We report 17 patients who underwent repair of cribriform cerebrospinal fluid leaks with a middle turbinate-sparing technique with 100% success rate at a mean follow up of 38 months. One patient complained of hyposmia. There were no other complications.

Conclusions
The endoscopic middle turbinate-sparing approach to repair cribriform cerebrospinal fluid leaks using a free mucosal graft is easy, effective, and reproducible.

Keywords
Cerebrospinal fluid leakEndoscopic surgeryMucosal graft
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© 2019 Published by Elsevier Inc.