The Role of Endoscopy in the Surgery of Cerebrospinal Rhinorrhea in Children.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 10
Abstract
The main objective of this study is to show our experience and the interest of endoscopic surgery and especially the multilayer technique in the treatment of post-traumatic osteo-dural defects in the roof of the ethmoid bone in the pediatric population.35of children, 13 girls / 22 boys, mean age 8 years old (range from 02- 15years) with post-traumatic cerebrospinal rhinorrhea, radiological exploration including multipl anarscanner Theses children were operated in 2011-2015 by an endoscopic approach with the multilayers technique. A longterm follow-up ranges from 12 to 52mois.The major symptom is unilateral rhinorrhea in all patients (100%), Repeated Meningitis was observed in 15children (42.8%) In 04 children (11, 4%) we found a defect associated with small meningoceles without cerebral hernia while in 8 patients (22, 8%) it was a meningo-encephalocele associated with osteo-dural defect more or less wide. The hospital stay varies between 7 to 10 days after removal of the ball on the fifth day.After a long follow-up of 12-60 months, we have reoperated three cases of osteo-dural defects the results is 100% successful. Minimally invasive techniques continue to evolve with low morbidity and a success rate close to 90%
Authors and Affiliations
K. Bouaita, L. Atroune, Shabay. Z
Keywords
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- EP ID EP244380
- DOI 10.9790/0853-1610097075
- Views 43
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