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  3. 32.Compare the Outcome of Endoscopic Endonasal versus Transcranial Approach for Cerebrospinal Fluid Leak Repair
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32.Compare the Outcome of Endoscopic Endonasal versus Transcranial Approach for Cerebrospinal Fluid Leak Repair

Hameed Ullah Khan1, Abdul Rauf2 and Mubarak Hussain2

ABSTRACT

Objective: To determine the outcome of endoscopic endonasal versus transcranial approach for cerebrospinal fluid leak repair.

Study Design: Comparative study

Place and Duration of Study: This study was conducted at the Department of Neurosurgery, Indus Medical College Tando Muhamad Khan from January 2019 to December 2019.

Materials and Methods: Sixty patients of both genders and aged between 20-65 years were enrolled. Patient’s details demographics age, sex and body mass were recorded. Patients had cerebrospinal fluid leaks and the history of cerebrospinal fluid leak was presented. Patients were equally divided into two groups, I and II. Group I treated by endonasal technique and group II treated by transcranial approach. All the patients were undergone for magnetic resonance imaging and computerized tomography scan. Complete follow up among both groups were taken in the duration of 10 months for the assessment of efficacy.

Results: Mean age of the patients in group I was 30.08±17.09 years with mean BMI 26.14±8.16 kg/m2 and in group II, mean age was 29.74±6.48 years with mean body mass index 26.54±7.22 kg/m2. Thirty six (60%) patients were males (18 in each group) and 24 (40%) patients were females (12 in each group). In group I recurrence rate was found in 4(13.3%) cases and in group II recurrence rate was (6.7%). 2 (6.7%) patients in group II developed infection but no any infection rate was found in endoscopic endonasal group. Satisfaction among patients in endonasal group was greater than that of transcranial group. Overall efficacy rate among both groups was 54 (90%).

Conclusion: For repair of cerebrospinal fluid leak both endoscopic endonasal and transcranial approach was effective and safe method. Minimum rate of recurrence and high rate of recovery was fund in this study.

Key Words: Cerebrospinal fluid, Endoscopic endonasal, Transcranial approach, Complications, Recurrence

Citation of article: Khan H, Abdul Rauf, Hussain M. Compare the Outcome of Endoscopic Endonasal versus Transcranial Approach for Cerebrospinal Fluid Leak Repair. Med Forum 2021;32(7):138-141.