Outcome Comparison of Endoscopic (Endonasal Trans-Sphenoidal) Repairs of CSF Leak vs. Transcranial Approach

Authors

  • Mehran Ali Nowshera Medical College
  • Naseer Hassan Nowshera Medical College
  • Hamayun Tahir Nowshera Medical College
  • Mansoor Ahmad Nowshera Medical College
  • Samir Khan Kabir Hayatabad Medical Complex
  • Raza Hassan Royal Free London Hospital, London, UK

DOI:

https://doi.org/10.37762/jgmds.9-1.246

Keywords:

CSF Leak, Tran-sphenoidal, Trans-cranial approach

Abstract

OBJECTIVES:

To compare the effectiveness of Endoscopic (endonasal transsphenoidal) repair of CSF leak with transcranial approach in terms of post-operative complications.

 METHODOLOGY: 

 This study was conducted in the Department of Neurosurgery, Lady Reading Hospital, Peshawar. Total of 40 patients diagnosed according to inclusion criteria were enrolled and were divided into two groups. One group was treated with endonasal trans-sphenoidal repair, and another was treated with a trans-cranial approach. All patients were followed for 1 year.

 RESULTS:

 The mean age of enrolled patients was 35.4±11.6 years. There were 62.5% male and 37.5% female. In the endoscopic group the recurrence rate was observed in 3 (15%) of the patients while in the trans-cranial group the recurrence rate was observed in 2 (10%) of the patients. The overall recurrence and success rate was 8% and 92% respectively. About 4 patients developed an infection, which was treated successfully.

 CONCLUSION:

 It is concluded that the endoscopic approach is safe and effective. The endoscopic approach should be considered as standard procedure for treatment.

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Author Biographies

Mehran Ali, Nowshera Medical College

Senior Registrar
Nowshera Medical College

Naseer Hassan, Nowshera Medical College

Assistant Professor / Head & Chairman of Neurosurgery Department
Nowshera Medical College, Nowshera.

 

Hamayun Tahir, Nowshera Medical College

Senior Registrar Neurosurgery Department
Nowshera Medical College.

Mansoor Ahmad, Nowshera Medical College

Senior Registrar Neurosurgery Department
Nowshera Medical College.

Samir Khan Kabir, Hayatabad Medical Complex

Assistant Professor
Orthopedic and spine surgery,
Hayatabad Medical Complex, Peshawar

Raza Hassan, Royal Free London Hospital, London, UK

Senior Clinical Fellow,
Orthopedic department,
Royal Free London Hospital,
London, United Kingdom.

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Published

2022-01-07

How to Cite

Ali, M., Hassan, N., Tahir, H., Ahmad, M., Kabir, S. K., & Hassan, R. (2022). Outcome Comparison of Endoscopic (Endonasal Trans-Sphenoidal) Repairs of CSF Leak vs. Transcranial Approach. Journal of Gandhara Medical and Dental Science, 9(1), 39–43. https://doi.org/10.37762/jgmds.9-1.246