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Endoscopic Repair of Frontal Sinus CSF Leak

Completed
Conditions
CSF Leakage
Registration Number
NCT05024643
Lead Sponsor
Al-Azhar University
Brief Summary

This retrospective study was conducted on patients with frontal sinus leaks came to ENT departments of Al-Azhar University Hospital, New Damietta, Egypt, for a period of five years.

Detailed Description

All patients in this study were evaluated during the follow-up period. Patients' age, sex, occupation, residence, and telephone number were recorded for each participant for demographic purposes. General and local examinations were also performed preoperatively as usual.

Medical history, surgical approach, leakage site, complications, reconstruction technique, and follow-up were recorded.

All cases were treated by endonasal endoscopy

* Complete sphenoethmoidectomy.

* Draf type IIa, IIb, and III according to defect location.

* Defect less than 3 mm closed by a plug of fat and facia lata or middle turbinate mucosa.

* Defect more than 3 mm closed by underlying facia lata, underlying cartilage, and overlay facia lata.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
27
Inclusion Criteria
  • patients who underwent endoscopic frontal sinus repair. Traumatic or spontaneous patients with a CSF leak at a minimum of six months not responding to conservative measures were included.
Exclusion Criteria
  • Known malignancy or patients with frontal leak due to extensive tumor resection or intracranial injury

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Successful treatment1 year

Intracranial tension from 7-15 mmHg, No leakage, No complications

Secondary Outcome Measures
NameTimeMethod
Complications1 week

Elevated intracranial tension, more than 15 mmHg, Fever, more than 37.5 degree, Meningitis

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