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Endoscopic modified Lothrop procedure for repair of lateral frontal sinus cerebrospinal fluid leak

Published online by Cambridge University Press:  17 April 2008

J K Anverali ,
A A Hassaan  and
H A Saleh
J K Anverali
Affiliation:
ENT Department, Charing Cross Hospital, London, UK
A A Hassaan*
Affiliation:
ENT Department, Charing Cross Hospital, London, UK
H A Saleh
Affiliation:
ENT Department, Charing Cross Hospital, London, UK
*
Address for correspondence: Mr Amro A Hassaan, 10 St Stephens Avenue, St Albans AL3 4AD, UK. Fax: 01727 850522 E-mail: amrohassaan@yahoo.com
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Abstract

Objective:

To describe a previously unreported case of repair of a lateral frontal sinus cerebrospinal fluid leak, using the endoscopic modified Lothrop procedure.

Method:

Case report of new technique, with reference to the world literature.

Results:

An effective endoscopic, transnasal repair of a lateral frontal sinus cerebrospinal fluid leak was achieved in a 60-year-old man. The defect was closed with fat, fascia lata and free mucosal grafts. The left nasal cavity was packed and a lumbar drain left in situ post-operatively. The drain and packs were removed one week later and the patient discharged with no complications, and no recurrence at 12 months' follow up.

Conclusion:

Such cerebrospinal fluid leaks have traditionally been repaired using an external approach with osteoplastic flaps and obliteration of the sinus. We highlight the endoscopic modified Lothrop technique as an effective alternative approach to repair of cerebrospinal fluid leaks in poorly accessible areas of the frontal sinus.

Keywords

Frontal SinusCerebrospinal FluidOtorhinolaryngologic Surgical Procedures
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 1 , January 2009 , pp. 145 - 147
Copyright
Copyright © JLO (1984) Limited 2008

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Footnotes

Presented at the 132nd Semon Club, 17 November 2006, Guy's Hospital, London, and at the British Skull Base Society Meeting, 25–26 January 2007, The Belfry, Birmingham, UK.

References

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