Postoperative CSF Rhinorrhoea

Aniruddha Bhagwat; Chandrashekhar Deopujari; Nishit Shah; Vikram Karmarkar

doi:10.1007/978-3-031-61601-3_7

Postoperative CSF Rhinorrhoea

Acta Neurochir Suppl. 2025:133:39-43. doi: 10.1007/978-3-031-61601-3_7.

Authors

Aniruddha Bhagwat¹, Chandrashekhar Deopujari¹, Nishit Shah¹, Vikram Karmarkar¹

Affiliation

¹ Bombay Hospital and Institute of Medical Sciences, Mumbai, India.

PMID: 39570345
DOI: 10.1007/978-3-031-61601-3_7

Abstract

Cerebrospinal fluid (CSF) rhinorrhoea is a well known complication following skull base surgery. Identifying the site of leak is the most important determinant for the appropriate approach in the further management of the case. Either transcranial or transnasal approaches may be used, alone or in combination, as deemed appropriate. The success of the repair depends on the site of the fistula, the timing of surgery, and patient factors. Discussion of two illustrative cases is presented here to describe the challenges faced by the neurosurgeon in the recognition and the immediate and definitive management of postoperative CSF rhinorrhoea and various strategies for a successful outcome in their repair.

Keywords: CSF rhinorrhoea; Clivectomy; Endoscopic endonasal skull base repair; Nasoseptal flap.

Publication types

Case Reports

MeSH terms

Adult
Cerebrospinal Fluid Rhinorrhea* / etiology
Cerebrospinal Fluid Rhinorrhea* / surgery
Female
Humans
Male
Middle Aged
Neurosurgical Procedures / adverse effects
Postoperative Complications* / etiology
Skull Base / surgery