Endoscopic Repair of Frontal Sinus CSF Leak

Outcome of the Endoscopic Repair of Frontal Sinus Cerebrospinal Fluid Leak

This retrospective study was conducted on patients with frontal sinus leaks came to ENT departments of Al-Azhar University Hospital, New Damietta, Egypt, for a period of five years.

All patients in this study were evaluated during the follow-up period. Patients' age, sex, occupation, residence, and telephone number were recorded for each participant for demographic purposes. General and local examinations were also performed preoperatively as usual.

Medical history, surgical approach, leakage site, complications, reconstruction technique, and follow-up were recorded.

All cases were treated by endonasal endoscopy

• Complete sphenoethmoidectomy.
• Draf type IIa, IIb, and III according to defect location.
• Defect less than 3 mm closed by a plug of fat and facia lata or middle turbinate mucosa.
• Defect more than 3 mm closed by underlying facia lata, underlying cartilage, and overlay facia lata.

Inclusion Criteria:

• patients who underwent endoscopic frontal sinus repair. Traumatic or spontaneous patients with a CSF leak at a minimum of six months not responding to conservative measures were included.

Exclusion Criteria:

• Known malignancy or patients with frontal leak due to extensive tumor resection or intracranial injury