| Ethmoid roof CSF-leak following frontal sinus balloon sinuplasty. | |
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MedLine Citation:
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PMID: 20502770 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: Though clear indications for its clinical application are not established yet, balloon sinuplasty technology per se is considered safe and very few severe complications have been mentioned in literature as of today. CASE REPORT: We report the case of a 36-year-old female patient who presented with right sided rhinorrhea from a CSF-leak in the ethmoidal roof after balloon sinuplasty, aimed at her right frontal sinus. Apparently, the surgeon was unaware of having penetrated the skull base through the lateral lamella of the cribriform plate intraoperatively. CSF rhinorrhea became evident 3 weeks postoperatively only when fever, headaches and moderate nausea developed. Upon revision, diameter, size and shape of the bony defect exactly matched with the tip of a standard sinus balloon catheter device, as could be demonstrated and documented. A small posttraumatic encephalocele had intermittently blocked the leak. Endoscopic surgery and duraplasty were performed under intrathecal fluorescein control, applying CT image-guided navigation. Since two-layer fascia lata closure of the defect, the patient has remained free of symptoms without any evidence of CSF leakage. CONCLUSION: Balloon sinuplasty per se is considered a safe technique, though in inexperienced hands or wrongly applied, complications may occur, as with any surgical tool rigid enough to breach through skull base. |
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Authors:
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P V Tomazic; H Stammberger; W Koele; C Gerstenberger |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Rhinology Volume: 48 ISSN: 0300-0729 ISO Abbreviation: Rhinology Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-05-26 Completed Date: 2010-08-13 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0347242 Medline TA: Rhinology Country: Netherlands |
Other Details:
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Languages: eng Pagination: 247-50 Citation Subset: IM |
Affiliation:
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Division of General ORL, Head and Neck Surgery, Medical University Graz, Graz, Austria. peter.tomazic@medunigraz.at |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Balloon Dilatation* Cerebrospinal Fluid Rhinorrhea / diagnosis* Ethmoid Bone / surgery Ethmoid Sinus / surgery* Female Frontal Sinusitis / surgery* Humans Postoperative Complications / diagnosis* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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