수술 후 부분 공터키안 증후군으로 진단된 자발적 뇌척수액 비루 환자의 자유점막과 비중격연골 봉합마개 치험 1예

The otolaryngologist should consider the empty sella syndrome as a diagnostic possibility when evaluating patients with nontraumatic spontaneous Cerebrospinal Fluid (CSF) rhinorrhea. Spontaneous CSF leak patients that do not exhibit florid symptoms of benign intracranial hypertension (BIH) may have their own internal CSF diversion because they are actively leaking CSF before surgical repair. They could have the potential to develop elevated Intracranial Pressure (ICP) and BIH after CSF leaks have been successfully closed. We describe one patient who presented with headache, papilledema, and visual disturbance after surgical repair of CSF leakage. The leakage site was repaired by placement of septal cartilage plug with free mucosal suture graft. This method addresses the fundamental biomechanical stability and reduces the complexity of the multilayer packing method, and demonstrated effectiveness at sealing. (J Clinical Otolaryngol 2013;24:242-246)