Cerebrospinal Fluid Rhinorrhea

Description:


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.

Features:

• 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 digital version is included with purchase. The digital 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.

Table Of Contents:

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
Index