Cerebrospinal Fluid Rhinorrhea
Comprehensive Guide to Evaluation and Management
- 1st Edition - April 17, 2023
- Latest edition
- Editors: Raj Sindwani, Christopher Roxbury
- Language: English
Offering up-to-date, multidisciplinary coverage of this nuanced and evolving field, Cerebrospinal Fluid Rhinorrhea provides a comprehensive overview of the evaluation and diagno… Read more
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Offering up-to-date, multidisciplinary coverage of this nuanced and evolving field, Cerebrospinal Fluid Rhinorrhea provides a comprehensive overview of the evaluation and diagnosis, as well as the medical and surgical management options, for all causes of cerebrospinal fluid (CSF) rhinorrhea. It covers all aspects of CSF leaks, synthesizing current knowledge on pathophysiology, diagnosis, perioperative care, and operative techniques for this complex group of patients. Leading experts in otolaryngology and neurosurgery, as well as ophthalmology, neurology, and radiology, provide detailed coverage of the distinctions between management of patients with differing etiologies of CSF rhinorrhea, including spontaneous, traumatic/iatrogenic, and tumor-related.
- Focuses exclusively on the comprehensive evaluation, and management of patients presenting with CSF leaks from the anterior cranial base, offering a reliable, one-stop resource for experienced clinicians as well as those in training
- Covers the full breadth of cerebrospinal fluid rhinorrhea, with expert discussion of spontaneous CSF leaks, including evolving management techniques for patients with idiopathic intracranial hypertension; traumatic CSF leaks, including advanced management of complex anterior cranial base trauma; and up-to-date techniques for intraoperative skull base reconstruction after tumor resection
- Includes tips and pearls on surgical approaches and postoperative management strategies for this complex and varied patient population
- Features abundant high-definition images of anatomy, radiographic imaging, and intraoperative techniques, as well as videos that highlight intraoperative techniques in patients with spontaneous, traumatic, and tumor-related CSF leaks
- Provides a detailed review of the different laboratory, examination (endoscopic nasal, as well as ophthalmologic) and imaging studies used to evaluate patients with CSF leaks
- Discusses the evaluation and growing medical and procedural management options for patients with idiopathic intracranial hypertension
- Offers state-of-the-art reconstruction options for CSF leaks and complex skull base defects, ranging from the nasoseptal flap and beyond
- Addresses the controversial role of lumbar drains in CSF leak management, as will new and upcoming technological advances in operating room instrumentation
- An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud
Practicing otolaryngologists, practicing neurosurgeons, otolaryngology and neurosurgery residents, medical students
PART I Evaluation and Diagnosis of Cerebrospinal Fluid Rhinorrhea
1. Categorizing Cerebrospinal Fluid Leaks: A Framework for Understanding
2. Evaluation of the Patients with Cerebrospinal Fluid Leaks: History and Physical Examination
3. Confirmatory Testing for Cerebrospinal Fluid Rhinorrhea
4. Role of Imaging Studies in the Evaluation and Localization of Cerebrospinal Fluid Leaks
PART II Cerebrospinal Fluid Physiology and Anatomy of the Cranial Base
5. Cerebrospinal Fluid Physiology and Dynamics
6. Surgical Anatomy of the Anterior Cranial Fossa
7. Surgical Anatomy of the Middle Cranial Fossa
8. Surgical Anatomy of the Posterior Cranial Fossa
PART III Traumatic and Iatrogenic Cerebrospinal Fluid Leaks
9. Pathophysiology and Clinical Evaluation
of Iatrogenic Cerebrospinal Fluid Rhinorrhea After Sinus Surgery
10. Pathophysiology and Clinical Evaluation of Blunt Force and Penetrating Trauma of the Anterior Cranial Base
11. Imaging of Anterior Skull Base Trauma
12. Surgical Management of Iatrogenic Cerebrospinal Fluid Rhinorrhea
13. Surgical Management of Large Traumatic Anterior Cranial Base Defects via Craniotomy
14. Postoperative Management of Traumatic Cranial Base Defects
PART IV Spontaneous Cerebrospinal Fluid Leaks and Idiopathic Intracranial Hypertension
15. Pathophysiology of Spontaneous Cerebrospinal Fluid Leaks and Their Relationship with Idiopathic Intracranial Hypertension
16. Diagnosis and Medical Management of Idiopathic Intracranial Hypertension
17. Surgical Management of Refractory Idiopathic Intracranial Hypertension
18. Ophthalmologic Evaluation of Idiopathic Intracranial Hypertension
19. Radiologic Findings in Idiopathic Intracranial Hypertension
20. Evaluation and Management of Congenital Skull Base Defects
21. Surgical Management of Spontaneous Cerebrospinal Fluid Leak of the Cribriform Plate
22. Surgical Management of Lateral Sphenoid Recess Meningoencephaloceles and Cerebrospinal Fluid Leaks
23. Surgical Management of Spontaneous Cerebrospinal Fluid Rhinorrhea Arising from Clival Defects
24. Postoperative Management After Cerebrospinal Fluid Leak Repair in Patients with Idiopathic Intracranial Hypertension
PART V Endoscopic Cerebrospinal Fluid Leak Repair and Skull Base Reconstruction and After Tumor Surgery
25. Clinical Evaluation of the Sellar Mass Patient
26. Clinical Evaluation of Patients with Skull Base Malignancies
27. Radiologic Evaluation of Skull Base Masses
28. Decision Making in Endoscopic Skull Base Reconstruction: A Graduated Approach
29.The Nasoseptal Flap: The Workhorse for Skull Base Reconstruction
30. Locoregional Pedicled Flap Options for Skull Base Reconstruction
31. Sellar Reconstruction After Pituitary Adenoma Resection
32. Reconstruction After Transtuberculum and Transplanum Approaches to Suprasellar Pathology
33. Endoscopic Reconstruction of Anterior Cranial Fossa Defects
34. Endoscopic Reconstruction of Middle Cranial Fossa Defects
35. Endoscopic Reconstruction of Posterior Cranial Fossa Defects
36. Transorbital and Transfrontal Approaches to Cerebrospinal Fluid Leak Repair
37. Free Flap Reconstruction of Skull Base Defects
38. Postoperative Management After Reconstruction Following Skull Base Tumor Surgery
PART VI Cerebrospinal Fluid Diversion and Advances in Instrumentation and Biomaterials
39. Role of Cerebrospinal Fluid Diversion in Cerebrospinal Fluid Leak Repairs and Skull Base Surgery
40. Advances in Endoscopic Visualization and Surgical Navigation
41. Powered Instrumentation and Bipolar Technology in Endoscopic Endonasal Skull Base Surgery
42. Evolution of Synthetic Graft Materials and Dural Sealants for Cerebrospinal Fluid Leak Repair
1. Categorizing Cerebrospinal Fluid Leaks: A Framework for Understanding
2. Evaluation of the Patients with Cerebrospinal Fluid Leaks: History and Physical Examination
3. Confirmatory Testing for Cerebrospinal Fluid Rhinorrhea
4. Role of Imaging Studies in the Evaluation and Localization of Cerebrospinal Fluid Leaks
PART II Cerebrospinal Fluid Physiology and Anatomy of the Cranial Base
5. Cerebrospinal Fluid Physiology and Dynamics
6. Surgical Anatomy of the Anterior Cranial Fossa
7. Surgical Anatomy of the Middle Cranial Fossa
8. Surgical Anatomy of the Posterior Cranial Fossa
PART III Traumatic and Iatrogenic Cerebrospinal Fluid Leaks
9. Pathophysiology and Clinical Evaluation
of Iatrogenic Cerebrospinal Fluid Rhinorrhea After Sinus Surgery
10. Pathophysiology and Clinical Evaluation of Blunt Force and Penetrating Trauma of the Anterior Cranial Base
11. Imaging of Anterior Skull Base Trauma
12. Surgical Management of Iatrogenic Cerebrospinal Fluid Rhinorrhea
13. Surgical Management of Large Traumatic Anterior Cranial Base Defects via Craniotomy
14. Postoperative Management of Traumatic Cranial Base Defects
PART IV Spontaneous Cerebrospinal Fluid Leaks and Idiopathic Intracranial Hypertension
15. Pathophysiology of Spontaneous Cerebrospinal Fluid Leaks and Their Relationship with Idiopathic Intracranial Hypertension
16. Diagnosis and Medical Management of Idiopathic Intracranial Hypertension
17. Surgical Management of Refractory Idiopathic Intracranial Hypertension
18. Ophthalmologic Evaluation of Idiopathic Intracranial Hypertension
19. Radiologic Findings in Idiopathic Intracranial Hypertension
20. Evaluation and Management of Congenital Skull Base Defects
21. Surgical Management of Spontaneous Cerebrospinal Fluid Leak of the Cribriform Plate
22. Surgical Management of Lateral Sphenoid Recess Meningoencephaloceles and Cerebrospinal Fluid Leaks
23. Surgical Management of Spontaneous Cerebrospinal Fluid Rhinorrhea Arising from Clival Defects
24. Postoperative Management After Cerebrospinal Fluid Leak Repair in Patients with Idiopathic Intracranial Hypertension
PART V Endoscopic Cerebrospinal Fluid Leak Repair and Skull Base Reconstruction and After Tumor Surgery
25. Clinical Evaluation of the Sellar Mass Patient
26. Clinical Evaluation of Patients with Skull Base Malignancies
27. Radiologic Evaluation of Skull Base Masses
28. Decision Making in Endoscopic Skull Base Reconstruction: A Graduated Approach
29.The Nasoseptal Flap: The Workhorse for Skull Base Reconstruction
30. Locoregional Pedicled Flap Options for Skull Base Reconstruction
31. Sellar Reconstruction After Pituitary Adenoma Resection
32. Reconstruction After Transtuberculum and Transplanum Approaches to Suprasellar Pathology
33. Endoscopic Reconstruction of Anterior Cranial Fossa Defects
34. Endoscopic Reconstruction of Middle Cranial Fossa Defects
35. Endoscopic Reconstruction of Posterior Cranial Fossa Defects
36. Transorbital and Transfrontal Approaches to Cerebrospinal Fluid Leak Repair
37. Free Flap Reconstruction of Skull Base Defects
38. Postoperative Management After Reconstruction Following Skull Base Tumor Surgery
PART VI Cerebrospinal Fluid Diversion and Advances in Instrumentation and Biomaterials
39. Role of Cerebrospinal Fluid Diversion in Cerebrospinal Fluid Leak Repairs and Skull Base Surgery
40. Advances in Endoscopic Visualization and Surgical Navigation
41. Powered Instrumentation and Bipolar Technology in Endoscopic Endonasal Skull Base Surgery
42. Evolution of Synthetic Graft Materials and Dural Sealants for Cerebrospinal Fluid Leak Repair
- Edition: 1
- Latest edition
- Published: April 17, 2023
- Language: English
RS
Raj Sindwani
Raj Sindwani MD, FACS, FRCS(C) is Vice Chairman and Head of the Section of Rhinology, Sinus and Skull Base Surgery of the Head and Neck Institute at the Cleveland Clinic. He is also Co-Director of the Minimally Invasive Cranial Base and Pituitary Program of the Rose Ella Burkhardt Brain Tumor and Neuro-Oncology Center and Fellowship Co-Director of the Advanced Rhinology and Skull Base Surgery Program. Dr. Sindwani is currently President-Elect of the Cleveland Clinic Medical Staff and a member of the Board of Governors. Dr. Sindwani is currently the Editor-in-Chief of the American Journal of Rhinology and Allergy, and past Editor-in-Chief of the Yearbook of Otolaryngology. Dr. Sindwani is an established authority on the medical and surgical management of conditions affecting the sinuses and skull base, and he pioneered endoscopic surgical approaches. He has published and lectured extensively in the field of Rhinology and Skull Base Surgery.
Affiliations and expertise
Section Head, Rhinology, Sinus and Skull Base Surgery, Quality Improvement Officer (QIO), Head and Neck Institute, Cleveland Clinic , Cleveland, Ohio, USACR
Christopher Roxbury
Christopher R. Roxbury, MD, FARS is an assistant professor and the director of endoscopic skull base surgery in the section of otolaryngology-head and neck surgery at the University of Chicago. Dr. Roxbury is a Fellow of the American Rhinologic Society, where he serves as an active member on several committees. He has published several peer-reviewed articles discussing the epidemiology, management, and postoperative outcomes of patients suffering from rhinologic and anterior cranial base diseases. He serves as an ad hoc editor for several otolaryngology and neurosurgery journals, including International Forum of Allergy and Rhinology, Laryngoscope, American Journal of Rhinology and Allergy, and World Neurosurgery. Dr. Roxbury is a regular speaker at national rhinology and skull base surgery conferences and has also lectured internationally on reconstructive techniques for cerebrospinal fluid leaks.
Affiliations and expertise
Assistant Professor and The Director of Endoscopic Skull Base Surgery, Section of Otolaryngology-Head and Neck Surgery, University of Chicago, Chicago, Illinois, USARead Cerebrospinal Fluid Rhinorrhea on ScienceDirect