Intraoperative CSF Leak Identification And Repair

Indications:

• CSF leak occurring during sinus surgery
• Clear rhinorrhea following sinus surgery

Highlights:

• Edges of skull base defect identified and freshened
• 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.
• A non-absorbable packing material may be placed for a one-week period of time in order to further bolster the repair site.