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- Matthew J Tormenti, Alessandro Paluzzi, Carlos Pinheiro-Nieto, Juan C Fernandez-Miranda, Carl H Snyderman, and Paul A Gardner.
- Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania 15213, USA.
- J. Neurosurg. 2012 Jan 1; 32 Suppl: E6E6.
AbstractThe authors present a fully endoscopic endonasal repair of a spontaneous CSF leak caused by a defect in the anterior fossa floor. Patients were positioned supine in a Mayfield headholder in slight extension. A complete ethmoidectomy was performed to expose the defect. The middle turbinate was removed to increase visualization and allow for more working room. The defect was identified and exposed. A nasoseptal flap was raised and placed over the defect. A free-mucosal graft fashioned from the removed middle turbinate was placed on the nasoseptal donor site. The video can be found here: http://youtu.be/gAN2cvQVXCE.
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