摘要
7例蝶窦性脑脊液鼻漏患者,经4周保守治疗无效后,行经蝶窦入路颅外修补术,术后无1例复发。这种颅外修补术具有创伤小、并发症少、成功率高的优点,并可同时处理鞍内病变,是修补蝶窦性脑脊液鼻漏的最佳入路。
Seven patients with sphenoidal cerebrospinal fluid rhinorrhea were diagnosed and localized by radionuclide cisternography After four weeks conservative treatment, the leakage was still active, and transsphenoidal extracranial rhinological repair was undertaken In the operation, the floor of sella around the fistula was debrided to expose the defect in the dura adequately The muscle pack was intradurally placed, then the gelfoams soaked with ZT mucilage were tamponed intradurally and extradurally to support the packing No leakage has recurred after repair This technique has advantages of low morbidity, fewer complications, high successfullness and superior exposure of the sellar area
出处
《中国耳鼻咽喉颅底外科杂志》
CAS
1996年第3期154-156,共3页
Chinese Journal of Otorhinolaryngology-skull Base Surgery