Repair of CSF Leak And Ethmoid Roof Defect

Indications:

• Spontaneous, traumatic, or iatrogenic skull base defect

Highlights:

• Edges of skull base defect are identified and freshened.
• Underlay cartilage/bone graft placed extra-durally in large defects.
• Free mucosal graft from septum or turbinate is placed over the defect.
• Graft is held firmly in place with absorbable packing material.

Keep in Mind/Things to Remember:

• A non-absorbable packing material may be placed for a one-week period of time to further bolster the repair site.