Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
증례

비내시경하 의인성 양측 뇌척수액 비루의 치료 1예

김진국1,*, 이민우1, 김재영1, 한창준1
Jin Kook Kim1,*, Min Woo Lee1, Jae Young Kim1, Chang Joon Han1
1건국대학교 의과대학 이비인후과학교실
1Department of Otolaryngology, College of Medicine, Konkuk University, Seoul, Korea
*교신저자: 김진국, 143-914 서울 광진구 화양동 1번지 건국대학교 의과대학 이비인후과학교실 전화: (02) 450-9697·전송: (02) 450-9798 E-mail: jkkimmd@kkucc.konkuk.ac.kr

© Copyright 2001 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: May 02, 2001; Accepted: May 23, 2001

Published Online: May 31, 2020

ABSTRACT

Cerebrospinal fluid (CSF) rhinorrhea results from a breakdown of dura that is supported structures of the skull base. CSF rhinorrhea usually occurs after head trauma or follows surgery for various inflammatory or tumorous disease at the anterior cranial base. Surgical repair is recommended for patents with CSF leaks that do not respond to conservative management. It was managed previously through the intracranial approach. However, it has been reported high morbidity and mortality. The nasal endoscope can be used to improve visualization of the leakage site and to facilitate free graft of flap placement. This method ensures a high rate of dural defect healing with minimal morbidity. The authors have experienced a case of iatrogenic bilateral CSF rhinorrhea from ethmoidal roof area, in which repaired successfully with muscle fascia, fibrin glue under nasal endoscopy. Therefore, we present this case with review of the literatures. (J Clinical Otolaryngol 2001;12:110-113)

Keywords: 뇌척수액 비루; 비내시경
Keywords: Cerebrospinal fluid rhinorrhea; Nasal endoscopy