A sandwich technique for prevention of cerebrospinal fluid rhinorrhea and reconstruction of the sellar floor after microsurgical transsphenoidal pituitary surgery
Background: Cerebrospinal fluid (CSF) leaks are a well-known complication of transsphenoidal surgery. Several autologous and artificial grafts have been used to close the sellar floor in an attempt to prevent postoperative CSF rhinorrhea. Objective: To evaluate and describe a sandwich technique to...
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| Main Authors: | , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
2016
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| In: |
Journal of neurological surgery. Part A, Central European neurosurgery
Year: 2016, Volume: 77, Issue: 03, Pages: 229-232 |
| ISSN: | 2193-6323 |
| DOI: | 10.1055/s-0035-1547357 |
| Online Access: | Verlag, Volltext: https://doi.org/10.1055/s-0035-1547357 Verlag, Volltext: http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1547357 
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| Author Notes: | Christian F. Freyschlag, Stephanie Alice Goerke, Jochen Obernauer, Johannes Kerschbaumer, Claudius Thomé, Marcel Seiz |
MARC
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| 245 | 1 | 2 | |a A sandwich technique for prevention of cerebrospinal fluid rhinorrhea and reconstruction of the sellar floor after microsurgical transsphenoidal pituitary surgery |c Christian F. Freyschlag, Stephanie Alice Goerke, Jochen Obernauer, Johannes Kerschbaumer, Claudius Thomé, Marcel Seiz |
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| 520 | |a Background: Cerebrospinal fluid (CSF) leaks are a well-known complication of transsphenoidal surgery. Several autologous and artificial grafts have been used to close the sellar floor in an attempt to prevent postoperative CSF rhinorrhea. Objective: To evaluate and describe a sandwich technique to close the sellar floor using autologous bone, absorbable gelatin sponge, and coated collagen fleece. Methods: We reviewed 50 consecutive patients between April 2010 and August 2011 who underwent transsphenoidal surgery ending with reconstruction of the sellar floor with a particular sandwich technique. Patients with an intraoperative CSF leak received an additional lumbar drain. Results: There were no cases of CSF rhinorrhea at postoperative follow-up after 6 weeks and no revision surgery. Conclusion: The proposed sandwich technique for closure of the sellar floor to the sphenoid sinus is a suitable alternative to autologous grafts and seems to be effective in preventing CSF rhinorrhea. | ||
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