CSF Leak Repair of Sphenoid Sinus after Pituitary Surgery

Indications:

• Acute or delayed CSF leak after pituitary resection

Highlights:

• Debridement of devitalized bone
• Placement of cartilage underlay graft
• Mucosal overlay graft

Keep in Mind/Things to Remember:

• Dilute fluoroscein aids for visualization of leak
• An absorbable packing helps in keeping the grafts in place during the healing period