Endoscopic Repair of Spontaneous Cerebrospinal Fluid Rhinorrhea with a Nasoseptal Flap

Lee, Sang Kuk; Jung, Jae Hyun; Lee, Seung Jae; Lee, Jae Yong

doi:2017.24.1.37

J Rhinol > Volume 24(1); 2017

Case Report

Journal of Rhinology 2017;24(1):37-41.
Published online May 31, 2017.
DOI: https://doi.org/10.18787/jr.2017.24.1.37

Endoscopic Repair of Spontaneous Cerebrospinal Fluid Rhinorrhea with a Nasoseptal Flap

Sang Kuk Lee, Jae Hyun Jung, Seung Jae Lee, Jae Yong Lee

Department of Otorhinolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Bucheon, Korea. jyent@schmc.ac.kr

내시경하 비중격 점막 피판술로 치료한 자발성 뇌척수액 비루 1예

이상국, 정재현, 이승재, 이재용

순천향대학교 의과대학 이비인후-두경부외과학교실

Abstract

Cerebrospinal fluid (CSF) rhinorrhea is classified into traumatic and non-traumatic types. Traumatic CSF rhinorrhea comprises the majority of cases, and major causes include head trauma, rhinologic procedures, and neurosurgery. Non-traumatic (spontaneous) CSF rhinorrhea with normal cerebrospinal pressure is a rare condition, occurring in only 4% of cases. We recently experienced a case of spontaneous CSF rhinorrhea complicated with bacterial meningitis. The defect site was identified in the left sphenoid sinus and was successfully repaired with a nasoseptal flap under an endoscopic approach. We present the etiology, classification, and treatment of this rare disease entity with a review of the literature.

Key Words: Cerebrospinal fluid;Rhinorrhea;Spontaneous;Septal;Flap