Journal Reviews

Managing spontaneous CSF leaks secondary to benign intracranial hypertension

6 October 2017 | | Cerebrospinal fluid rhinorrhea, Endonasal endoscopic surgical procedures, Idiopathic intracranial hypertension, Spontaneous cerebrospinal fluid leaks

Spontaneous CSF leaks are a rare entity. In this paper, a Spanish group report their experience managing the condition using endoscopic surgery in 35 patients over an eight year period. Leak locations included the cribriform plate (18/35), ethmoid roof (15/35)...

Outpatient closure of CSF leaks: a good idea or a step too far?

1 January 2017 | | ambulatory surgery, anterior skull base, cerebrospinal fluid leak, cerebrospinal fluid rhinorrhea, endoscopic, outpatient, skull-base defect, spontaneous CSF leak

After day-case septoplasty, day case thyroidectomy, now day case CSF leak repair – has the pendulum moved too far? The authors put forward a convincing case for what, only 10 years ago, would have sounded like a provocation. They quote...

Getting your nose dry: endoscopic vidian neurectomy – an old technique given new life

1 November 2015 | | endoscopic vidian neurectomy, nonallergic rhinitis, rhinorrhea, vasomotor rhinitis, vidian nerve

We are often faced with patients with intractable watery rhinorhea – patients with no demonstrable allergy, a diagnosis of NAR and no response to ipratropium or capsaicine. For such patients, vidian neurectomy has been devised – an old technique that...