Journal of Clinical Otolaryngology Head and Neck Surgery

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

J Clin Otolaryngol Head Neck Surg 2013; 24(2):242-246

pISSN: 1225-0244, eISSN: 2713-833X

DOI: https://doi.org/10.35420/jcohns.2013.24.2.242

증례

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

장철¹^,^*, 김광중¹

Septal Cartilage Button Plug with Free Mucosa Technique in Spontaneous Cerebrospinal Fluid Rhinorrhea which Postoperatively Diagnosed with Partial Empty Sellar Syndrome

Chul Chang¹^,^*, Kwang Joong Kim¹

¹차의과학대학교 분당차병원 이비인후과-두경부외과학교실

¹Department of Otorhinolaryngology-Head and Neck Surgery, CHA Bundang Medical Center, CHA University, Seongnam, Korea

^*교신저자: 장 철, 463-712 경기도 성남시 분당구 야탑로 59 차의과학대학교 분당차병원 이비인후과-두경부외과학교실 전화 :(031) 780-5340·전송:(031) 780-5347 E-mail:chollove@hanmail.net

© Copyright 2013 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: Jun 26, 2013; Revised: Aug 05, 2013; Accepted: Sep 12, 2013

Published Online: May 31, 2020

ABSTRACT

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)

Keywords: 뇌척수액 비루; 공터키안 증후군; 내시경 적 복원

Keywords: CSF rhinorrhea; Empty sella syndrome; Endoscopic repair