Repair of CSF Leak And Ethmoid Roof Defect


  • Spontaneous, traumatic, or iatrogenic skull base defect


  • 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.