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Extracranial repair of pediatric traumatic cerebrospinal fluid rhinorrhea Ng M; Maceri DR; Levy MM; Crockett DMArch Otolaryngol Head Neck Surg 1998[Oct]; 124 (10): 1125-30OBJECTIVE: To examine the methods of extracranial repair of traumatic defects in the cribriform plate and ethmoid roof resulting in persistent cerebrospinal fluid (CSF) rhinorrhea in pediatric patients. DESIGN: Retrospective case series. SETTING: A single-institution, tertiary care, pediatric hospital. PATIENTS: Four children, ranging in age from 3 1/2 to 9 years, who sustained fractures in the cribriform plate or ethmoid roof. INTERVENTION: Transnasal endoscopic repair in 4 patients, with 2 patients also undergoing external ethmoidectomy because of the large bony defect and the need for further exposure for repair. MAIN OUTCOME MEASURES: Time free from CSF leaks or recurrence, meningitis, and other postoperative complications. RESULTS: All patients except 1 have been free of recurrent CSF leaks, meningitis, and other postoperative complications. The 3 patients who solely underwent the extracranial approach did not experience the complications of the traditional intracranial approach. CONCLUSIONS: In a select group of pediatric patients, the extracranial approach for the repair of CSF leaks is appropriate. Successful use of an extracranial approach in 3 of 4 patients supports this method.|Accidental Falls[MESH]|Accidents, Traffic[MESH]|Cerebrospinal Fluid Rhinorrhea/etiology/*surgery[MESH]|Child[MESH]|Child, Preschool[MESH]|Endoscopy/*methods[MESH]|Female[MESH]|Head Injuries, Closed/*complications[MESH]|Humans[MESH]|Male[MESH]|Recurrence[MESH]|Retrospective Studies[MESH] |
