Abstract
Endoscopic repair of defects of the anterior skull base has progressively been introduced in preference to the more aggressive external approach. Different techniques of skull base reconstruction have been proposed, achieving overall results of between 75 and 100% for primary surgery [1, 2]. Ascending bacterial meningitis has been reported as a consequence of these skull base defects and may in fact occur years after trauma or in the absence of active leakage [3]. Endoscopic repair of anterior skull base defects, with or without an active CSF leak, seems to prevent ascending bacterial meningitis in the long term [3]; thus, the endoscopic approach seems to be the technique of choice when approaching anterior skull base defects. One major advantage is that this type of surgery has negligible morbidity.
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Bernal-Sprekelsen, M., Alobid, I., Mullol, J., Garcia-Piñero, A. (2010). Endoscopic Repair of Anterior Skull Base Defects. In: Anniko, M., Bernal-Sprekelsen, M., Bonkowsky, V., Bradley, P., Iurato, S. (eds) Otorhinolaryngology, Head and Neck Surgery. European Manual of Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68940-9_27
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DOI: https://doi.org/10.1007/978-3-540-68940-9_27
Publisher Name: Springer, Berlin, Heidelberg
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