접형동 골결손을 동반한 외상성 뇌척수액 비루 환자 1례
A case report of a traumatic cerebrospinal rhinorrhea patient with sphenoid sinus bone defect
강희진, 김석현, 권오은, 김성완, 박봉진, 민진영,
소속 상세정보
강희진 ( Kang Hee-Jin )
경희대학교 의과대학 이비인후과학교실
김석현 ( Kim Seok-Hyun )
경희대학교 의과대학 이비인후과학교실
권오은 ( Kwon Oh-Eun )
경희대학교 의과대학 이비인후과학교실
김성완 ( Kim Sung-Wan )
경희대학교 의과대학 이비인후과학교실
박봉진 ( Park Bong-Jin )
경희대학교 의과대학 신경외과학교실
민진영 ( Min Jin-Young )
경희대학교 의과대학 이비인후과학교실
KMID : 1037420190140020044
Abstract
Cerebrospinal fluid (CSF) rhinorrhea is a result of communication between subarachnoid space and sinonasal mucosa through skull base defects. The presence of skull base defect can increase the risk of meningitis, thus in most cases of consistent CSF rhinorrhea, surgery is needed to repair the defect and prevent further complications. The surgical approach can be determined by the location of skull base defect. Here, we present a case of CSF leak in a 34-year-old female with defect of lateral recess of left sphenoid sinus that present as watery rhinorrhea. We repaired the skull base defect by endoscopic transnasal transpterygoidal approach with multi-layered grafts. There was no recurrence or complications during the 12 months after surgery.
키워드
Cerebrospinal fluid rhinorrhea; Cerebrospinal fluid leaks; Transpterygoid; Traumatic
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