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Ethmoid CSF Cerebrospinal Fluid Leak

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Lessons Learned from Rhinologic Procedure Complications

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Abstract

Endoscopic sinus surgery (ESS) is an excellent option for addressing medically recalcitrant sinus disease. The combination of stereotactic image-guided navigation and advances in surgical techniques have transformed the procedure, allowing surgeons to perform more thorough dissection while minimizing risks. Despite these advances, iatrogenic injury during ESS accounts for 16% of anterior skull base cerebrospinal fluid (CSF) leaks, with the most common location involving the cribriform plate. In this chapter, we will discuss key aspects to consider in order to avoid injury to the skull base as well as highlight the proper steps to take if a CSF leak should occur.

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Authors and Affiliations

  1. Department of Otolaryngology – Head and Neck Surgery, Baylor College of Medicine, Houston, TX, USA

    Tran B. Locke

  2. Department of Otorhinolaryngology - Head and Neck Surgery, University of Pennsylvania, Philadelphia, PA, USA

    Nithin D. Adappa

Authors
  1. Tran B. Locke
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  2. Nithin D. Adappa
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Corresponding author

Correspondence to Nithin D. Adappa .

Editor information

Editors and Affiliations

  1. Otolaryngology-Head & Neck Surgery, Vanderbilt University Medical Center, Nashville, TN, USA

    Rakesh K. Chandra

  2. Otolaryngology-Head & Neck Surgery, Northwestern University/Northwestern Medicine, Chicago, IL, USA

    Kevin C. Welch

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Locke, T.B., Adappa, N.D. (2022). Ethmoid CSF Cerebrospinal Fluid Leak. In: Chandra, R.K., Welch, K.C. (eds) Lessons Learned from Rhinologic Procedure Complications. Springer, Cham. https://doi.org/10.1007/978-3-030-75323-8_9

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  • DOI: https://doi.org/10.1007/978-3-030-75323-8_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-75322-1

  • Online ISBN: 978-3-030-75323-8

  • eBook Packages: MedicineMedicine (R0)

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