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Repair of cerebro spinal fluid rhinorrhea with pedicled dural flap

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

Repair of cerebro spinal fluid rhinorrhea with pedicled dural flap

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

PMID: 425855

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