Surgical Cavity in Extended Endoscopic Endonasal Approach to the Skull Base and their Relationship with Cerebrospinal luid Leak

Marlon Ortiz Machín; Omar López Arbolay; Carlos Vargas Gálvez; Ambiorix Ottenwalder Díaz

Authors

Marlon Ortiz Machín
Omar López Arbolay
Carlos Vargas Gálvez
Ambiorix Ottenwalder Díaz

Keywords:

extended endonasal endoscopic approach (EEEA), cerebrospinal fluid (CSF) leak, surgical cavity, bernoulli laws

Abstract

Cerebrospinal fluid leak represents a fearsome complication after Extended Endoscopic Endonasal Approach to the skull base. A descriptive observational study was performed in 550 patients operated for skull base tumors through Extended Endoscopic Endonasal Approaches, between 2010 and 2021 at the Ameijeiras Hospital. Surgical cavity was classified according to relation with intracranial hydrodynamic system into: type 0 (no contact with the hydrodynamic system), type 1 (subarachnoid cavity), type 2 (cisternal cavity), and type 3 (ventricular cavity). A significant increase CSF leak incidence was determined in type 2 (10,8 %) and type 3 (18 %) cavity and it was associated to increment of hydrodynamic energy secondary to Bernoulli laws.

Downloads

How to Cite

Surgical Cavity in Extended Endoscopic Endonasal Approach to the Skull Base and their Relationship with Cerebrospinal luid Leak. (2023). Global Journal of Medical Research, 23(A1), 1-4. https://medicalresearchjournal.org/index.php/GJMR/article/view/102278

Download Citation

References

Paul Gardner, Amin Kassam, Carl Snyderman, Ricardo Carrau, Arlan Mintz, Steven Grahovac, Susan Stefko (2008) Outcomes following endoscopic, expanded endonasal resection of suprasellar craniopharyngiomas: a case series. 109(1), 6-16.

F Landrielibañez, S Hem, P Ajler, E Vecchi, C Ciraolo, M Baccanelli (2011) A new classification of complications in Neurosurgery. 75(5-6), 709-715.

Michael Pollay (2010) The function and structure of the cerebrospinal fluid outflow system. 7(1), 9.

Richard Shepard, D Simpson, J Sharp (1966) Energy Equivalent Pressure. 93(5), 730.

Marlon Machín, Omar Arbolay (2020) Concerns of cerebrospinal fluid leak in aggressive expanded endonasal endoscopic approach for craniopharyngiomas. 10(4), 154-156.

E Schmidt, Ros Moyse, E Lorthois, S Swider, P (2016) Bernoulli´s Principle Applied to Brain Fluids: Intracranial Pressure Does Not Drive Cerebral Perfusion or CSF Flow. 122, 107-111.

Harold Rekate (2011) A consensus on the classification of hydrocephalus: its utility in the assessment of abnormalities of cerebrospinal fluid dynamics. 27(10), 1535-1541.

Edgar Bering, Osamu Sato (1963) Hydrocephalus: Changes in Formation and Absorption of Cerebrospinal Fluid Within the Cerebral Ventricles. 20(12), 1050-1063.

Mark Wagshul, Per Eide, Joseph Madsen (2011) The pulsating brain: A review of experimental and clinical studies of intracranial pulsatility. 8(1), 5.

M Czosnyka, J Pickard (2004) Monitoring and interpretation of intracranial pressure. 75(6), 813-821.