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Repair of cerebro spinal fluid rhinorrhea with pedicled dural flap



Repair of cerebro spinal fluid rhinorrhea with pedicled dural flap



Acta Neurochirurgica 45(3-4): 237-246



Four human cases of persistent CSF rhinorrhea through the ethmoid sinus are presented. Using the operative microscope, the margin of the dural defect was easily identified, and a pedicled dural flap supplied by branches of a meningeal artery was successfully sutured to the dural margin in a watertight fashion without increasing pre-existing neurological deficits. To prevent intracranial infection, the watertight closure with a pedicled dural flap is presumably more complete and reasonable than are various grafts without vascular circulation.

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Accession: 006312309

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PMID: 425855



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