Transantral Repair of Cerebrospinal Fluid Fistulas Using Bone Chips, Tisseel®, Fascia and Plaster of Paris

Abstract

Cerebrospinal rhinorrhea is a potentially serious symptom due to the risk of an ascending infection, which may produce a fulminant meningitis. Plaster of Paris has been used to obliterate the sphenoidal sinus and posterior ethmoids in five patients with cerebrospinal rhinorrhea. The fistulas were identified by computed cisternography and reaired by a transantral approach using a microsurgical technique, and bone chips, Tisseel and fascia to seal the fistulas.

Key Words:

• CSF fistulas
• surgical technique
• plaster of Paris