الفهرس | Only 14 pages are availabe for public view |
Abstract Introduction: Cerebrospinal fluid (CSF) leak happens when there is an abnormal connection between the brain cavity inside and environment outside. It is important to establish a good barrier between the brain tissue and the nose to prevent cerebrospinal fluid leak and protect the brain from exposure to infection. which can be done either by endoscopic or non endoscopic surgical repair . Patients and methods: The aim of this work is to evaluate the effectiveness of endoscopic and non endoscopic repair of CSF leakage in patients suffering from CSF rhinorrhea . The search retrieved 1693 unique records. We then retained 89 potentially eligible records for full-texts screening. Finally, 11 studies (Total No. of patients = 355) were included in the present systematic review and meta-analysis. Results: CSF rhinorrhea resolved in endoscopic surgery group giving a success rate of 88.8%to 100% . recurrence rate is 2% to 12.2% and postoperative complications occurred in 5% to 16.7%. Conclusion: The endoscopic approach is highly effective , better than non endoscopic route and is associated with low morbidity for the management of CSF rhinorrhea. |