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A purely synthetic and biodegradable material for repair of cerebrospinal fluid rhinorrhoea

CLINICAL OTOLARYNGOLOGY (2016)

Journal

CLINICAL OTOLARYNGOLOGY

Volume 41, Issue 2, Pages 179-182

Publisher

WILEY

DOI: 10.1111/coa.12469

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CSF rhinorrhoea after endonasal intervention to the skull base (CRANIAL): A multicentre prospective observational study

Danyal Z. Khan, Hani J. Marcus, Soham Bandyopadhyay, Benjamin E. Schroeder, Vikesh Patel, Alice O'Donnell, Anastasios Giamouriadis, Pragnesh Bhatt, Bhaskar Ram, Adithya Varma, Philip Weir, Brendan Hanna, Theodore C. Hirst, Patrick McAleavey, Alessandro Paluzzi, Georgios Tsermoulas, Shahzada Ahmed, Wai Cheong Soon, Yasir Arafat Chowdhury, Suhaib Abualsaud, Shumail Mahmood, Paresh Naik, Zohra Haiderkhan, Rafid Al-Mahfoudh, Andrea Perera, Mircea Rus, Adam Williams, Charles Hand, Kumar Abhinav, Cristina Cernei, Aiman Dilnawaz, Richard Mannion, Thomas Santarius, James Tysome, Rishi Sharma, Angelos G. Kolias, Neil Donnelly, Ashwin Venkatesh, Caroline Hayhurst, Amr Mohamed, Benjamin Stew, Joseph Merola, Setthasorn Zhi Yang Ooi, Mahmoud Kamel, Mohammad Habibullah Khan, Sahibzada Abrar, Christopher Mckeon, Daniel McSweeney, Mohsen Javadpour, Peter Lacy, Daniel Murray, Elena Roman, Kismet Hossain-Ibrahim, Peter Ross, David Bennett, Nathan McSorley, Adam Hounat, Patrick Statham, Mark Hughes, Alhafidz Hamdan, Caroline Scott, Jigi Moudgil-Joshi, Anuj Bahl, Anna Bjornson, Daniel Gatt, Nick Phillips, Neeraj Kalra, Melissa Bautista, Seerat Shirazi, Catherine E. Gilkes, Christopher P. Millward, Ahmad Ms Ali, Dimitris Paraskevopoulos, Jarnail Bal, Samir Matloob, Rhannon Lobo, Nigel Mendoza, Ramesh Nair, Arthur Dalton, Adarsh Nadig, Lucas Hernandez, Nick Thomas, Eleni Maratos, Jonathan Shapey, Sinan Al-Barazi, Asfand Baig Mirza, Mohamed Okasha, Prabhjot Singh Malhotra, Razna Ahmed, Neil L. Dorward, Joan Grieve, Parag Sayal, David Choi, Ivan Cabrilo, Hugo Layard Horsfall, Jonathan Pollock, Alireza Shoakazemi, Oscar Maccormac, Guru N. K. Amirthalingam, Andrew Martin, Simon Stapleton, Florence Hogg, Daniel Richardson, Kanna Gnanalingham, Omar Pathmanaban, Daniel M. Fountain, Raj Bhalla, Cathal J. Hannan, Annabel Chadwick, Alistair Jenkins, Claire Nicholson, Syed Shumon, Mohamed Youssef, Callum Allison, Graham Dow, Iain Robertson, Laurence Johann Glancz, Murugan Sitaraman, Ashwin Kumaria, Ananyo Bagchi, Simon Cudlip, Jane Halliday, Rory J. Piper, Alexandros Boukas, Meriem Amarouche, Damjan Veljanoski, Samiul Muquit, Ellie Edlmann, Haritha Maripi, Yi Wang, Mehnaz Hossain, Andrew Alalade, Syed Maroof, Pradnya Patkar, Saurabh Sinha, Showkat Mirza, Duncan Henderson, Mohammad Saud Khan, Nijaguna Mathad, Jonathan Hempenstall, Difei Wang, Pavan Marwaha, Simon Shaw, Georgios Solomou, Alina Shrestha, Andrew Fraser, Theodore Hirst, Yasir Chowdhury, Sobiya Bilal, Jack Wildman, Priya Babu, Cian Carey, Renitha Reddi Bathuni, Joseph Nathaniel Brennan, Sandhya T. Trichinopoly, Danyal Khan, Seun Sobawale, Amir Suliman, Rory Piper, Will Owen, Afaq Sartaj, Edward Goacher, Euan Strachan, Giorgios Solomou, Howra Ktayen

Summary: This study investigated the skull-base repair methods used and the rates of postoperative cerebrospinal fluid (CSF) rhinorrhoea in endonasal skull-base neurosurgery. The study found significant variation in repair protocols across centers. The rates of CSF rhinorrhoea were 3.9% in the endonasal transsphenoidal approach (TSA) and 7.1% in the expanded endonasal approach (EEA). It was observed that many postoperative leaks occurred without intraoperative CSF leak being reported.

FRONTIERS IN ONCOLOGY (2023)