Osteoplastic Flap Approach for Posterior Table Leak: A Case Report

Frontal sinus Cerebrospinal Fluid (CSF) leak is relatively uncommon. Surgical treatment is indicated when conservative management fails. Here we present a case report of 19-year-old male who presented with delayed CSF rhinorrhea after trauma with one episode of meningitis. On evaluation, frontal sin...

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Bibliographic Details
Main Authors: Rishikesh Thakur, David Victor Kumar Irugu, Hitesh Verma
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2019-07-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/12998/41648_CE[Ra1]_F(KM)_PF1(AG_SHU)_PFA(OM)_PB(AG_SL)_PN(SL).pdf
Description
Summary:Frontal sinus Cerebrospinal Fluid (CSF) leak is relatively uncommon. Surgical treatment is indicated when conservative management fails. Here we present a case report of 19-year-old male who presented with delayed CSF rhinorrhea after trauma with one episode of meningitis. On evaluation, frontal sinus posterior vault leak was seen. The repair was done by osteoplastic flap raising approach. Follow-up clinico-radiological assessment showed no evidence of leak or defect. Although endoscopic approach is used most commonly now-a-days, defect in posterior vault may not be adequately dealt especially if defect is laterally or superiorly located as seen in this case. This case is reported to highlight the indication of open approach in endoscopic era.
ISSN:2249-782X
0973-709X