ENDOSCOPIC MANAGEMENT OF CEREBROSPINAL FLUID RHINORRHEA: A CASE SERIES EVALUATING SURGICAL OUTCOMES FROM OUR INSTITUTIONAL EXPERIENCE

Abstract

Background: Cerebrospinal fluid (CSF) rhinorrhea is caused by a breach in the skull base, allowing CSF to leak into the nasal cavity. It is frequently associated with idiopathic intracranial hypertension (IIH) and can be caused by trauma, surgical complications, neoplasms, or spontaneous occurrence. There is a significant chance of severe side effects including meningitis if treatment is not received. By offering efficient and minimally invasive methods, recent developments in endoscopic repair have greatly improved results.

Methods:In this study, we provide the results of three CSF rhinorrhea patients who received treatment in a tertiary care facility. Patient demographics, underlying etiology, diagnostic procedures, surgical techniques, and results were among the information gathered. After endoscopic treatment, all patients received routine postoperative assessments to see whether their symptoms had resolved or returned.

Results:Two of the three cases included spontaneous CSF, whereas one was the consequence of surgery. Imaging methods such as CT cisternography for precise defect localization and beta-2 transferrin tests were among the used diagnostic tools. All multilayered endoscopic repairs were successful, and no significant problems or recurrences were noted at follow-up.

Conclusions:Endoscopic surgery is a safe and highly effective approach for managing CSF rhinorrhea with a high success rate and few side effects. Early diagnosis accurate defect identification, and customized treatment plans are essential.