CSF Leak Repair Of Cribriform Plate
Indications:
- Spontaneous, traumatic, or iatrogenic CSF leak
Highlights:
- Edges of skull base defect identified and freshened
- Underlay cartilage graft placed extra-durally
- Free mucosal graft from septum or turbinate placed over defect
- Graft held firmly in place with absorbable packing material
Keep in Mind/Things to Remember:
- Most intraop leaks can be successfully closed with one-layer repair
- Spontaneous leaks are often closed with two layers
- A non-absorbable packing material may be placed for a one-week period of time in order to further bolster the repair site