CSF Leak Repair of Sphenoid Sinus after Pituitary Surgery

Survey

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